Individual
MR. NATHAN CORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
25 95TH DR NE #105, LAKE STEVENS, WA 98258
(425) 334-9137
Mailing address
2031 119TH AVE SE, LAKE STEVENS, WA 98258
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 60434354
WA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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