Individual
MISS ALLISON DANIELLE CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
125 164TH ST SE, BOTHELL, WA 98012-5947
(425) 745-2311
(425) 745-2988
Mailing address
125 164TH ST SE, BOTHELL, WA 98012-5947
(425) 745-2311
(425) 745-2988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019997
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220328
LABOR AND INDUSTRIES PROVIDER NUMBER
WA
Enumeration date
10/29/2008
Last updated
10/29/2008
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