Individual
MARY E TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
22312 MARINE VIEW DR S, DES MOINES, WA 98198-6832
(206) 824-8464
(206) 824-8470
Mailing address
32620 112TH PL SE, AUBURN, WA 98092-4822
(253) 569-3882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA 60076308
WA
174400000X
Specialist
Primary
MA60076308
WA
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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