Individual
HEIDI GRIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6251 NE BOTHELL WAY, KENMORE, WA 98028-8941
(425) 205-3478
Mailing address
8411 NE 150TH PL, KENMORE, WA 98028-4700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012190
WA
Other
Enumeration date
07/30/2011
Last updated
07/30/2011
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