Individual
JULIE KRISTEN KORSSJOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
13710 461ST PL SE, NORTH BEND, WA 98045-8865
(425) 888-0460
Mailing address
13710 461ST PL SE, NORTH BEND, WA 98045-8865
(425) 888-0460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60258944
WA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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