Individual
MAKIATU PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24817 112TH AVE SE, KENT, WA 98030-6610
(253) 653-9107
Mailing address
PO BOX 5354, KENT, WA 98064-5354
(253) 653-9107
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
202K00000X
WA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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