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Individual

DR. JAMES W.H WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND

Contact information

Practice address
3670 STONE WAY N STE S201, SEATTLE, WA 98103-8004
(206) 834-4100
(206) 834-4131
Mailing address
PO BOX 94205, SEATTLE, WA 98124-6505
(206) 834-4100
(206) 834-4131

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT00000790
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2035031
WA
Enumeration date
02/12/2007
Last updated
04/03/2018
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