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Individual

EBONY V GUTHRIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT CNA MAP CPT MROA

Contact information

Practice address
7304 LAKEWOOD DR W STE 22, LAKEWOOD, WA 98499-7920
(888) 522-7443
Mailing address
7304 LAKEWOOD DR W STE 22, LAKEWOOD, WA 98499-7920
(888) 522-7443

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
PC60569765
WA

Other

Enumeration date
09/05/2022
Last updated
06/17/2024
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