Individual
MIRRANDA SAINT MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8950 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-3110
(253) 581-1533
Mailing address
8950 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-3110
(253) 581-1533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018198
WA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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