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Individual

MARY MUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, L.AC

Contact information

Practice address
7210 40TH ST W, STE 100, UNIVERSITY PLACE, WA 98466-4318
(253) 564-0170
(253) 207-4240
Mailing address
7210 40TH ST W, STE 100, UNIVERSITY PLACE, WA 98466-4318
(253) 564-0170
(253) 207-4240

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002753
WA
363A00000X
Physician Assistant
PA10002261
WA

Other

Enumeration date
08/11/2006
Last updated
09/11/2025
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