Individual
KENDRA GUDZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
38579 SE RIVER ST #13, SNOQUALMIE, WA 98065
(425) 443-2515
Mailing address
PO BOX 2043, NORTH BEND, WA 98045-2043
(425) 443-2515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17224
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17224
STATE LIC. NUMBER
WA
Enumeration date
02/26/2007
Last updated
09/29/2016
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