Individual
MRS. VICTORIA LYNN ISENHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1318 138TH STREET SE, MILL CREEK, WA 98012
(425) 280-8312
Mailing address
1318 138TH STREET SE, MILL CREEK, WA 98012
(425) 280-8315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60104544
WA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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