Individual
KAZUMI N AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
22726 44TH AVE W, MOUNTLAKE TERRACE, WA 98043-4578
(425) 697-3673
Mailing address
22907 40TH PL W, MOUNTLAKE TERRACE, WA 98043-5001
(425) 697-3673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012888
WA
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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