Individual
ANN GABRIELLE DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10602 NE 194TH ST, BOTHELL, WA 98011-3043
(425) 908-9165
Mailing address
10602 NE 194TH ST, BOTHELL, WA 98011-3043
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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