Individual
TERRI ANNE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 LORAINE ST, ENUMCLAW, WA 98022-2134
(360) 791-3292
Mailing address
1108 LORAINE ST, ENUMCLAW, WA 98022-2134
(360) 791-3292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00018247
WA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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