Individual
KATELIN TAKEMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 VINING RD, BELLINGHAM, WA 98226-7543
(360) 927-2077
Mailing address
4603 VINING RD, BELLINGHAM, WA 98226-7543
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60531261
WA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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