Individual
NIKITA ELENA BRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2014 E MADISON ST STE 100, SEATTLE, WA 98122-2965
(206) 726-9595
Mailing address
15 SW EVERETT MALL WAY STE G, EVERETT, WA 98204-2715
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
60954877
WA
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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