Individual
MRS. MARY L MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2931 W SKOKOMISH VALLEY RD, SHELTON, WA 98584-6455
(360) 426-2985
Mailing address
2931 W SKOKOMISH VALLEY RD, SHELTON, WA 98584-6455
(360) 426-2985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00003340
WA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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