Individual
MS. SUSAN JEAN KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
14022 MERIDIAN AVE S, EVERETT, WA 98208-6943
(206) 300-6877
(425) 743-2899
Mailing address
14022 MERIDIAN AVE SOUTH, EVERETT, WA 98208-6943
(206) 300-6877
(425) 743-2899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024631
WA
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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