Individual
REBECCA MARIE MUSSELWHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
18021 15TH AVE NE, SUITE #200, SHORELINE, WA 98155-3806
(206) 524-1330
Mailing address
1408 NE 154TH ST, SHORELINE, WA 98155-7140
(206) 910-3770
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA60284714
WA
Other
Enumeration date
05/19/2012
Last updated
05/19/2012
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