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Individual

MATILDA LISA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CD

Contact information

Practice address
18550 STONE AVE N, SHORELINE, WA 98133-4014
(206) 399-8506
Mailing address
18550 STONE AVENUE NORTH, SHORELINE, WA 98133-4014
(206) 399-8506

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
9330
WA

Other

Enumeration date
11/01/2012
Last updated
11/01/2012
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