Individual
MS. TOMARRA ANN LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10405 WATERS AVE S, SEATTLE, WA 98178-2546
(206) 550-1149
Mailing address
10405 WATERS AVE S, SEATTLE, WA 98178-2546
(206) 550-1149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011717
WA
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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