NPI 1154030401

Misty Marie Crick-Goodman, LE

Practitioner Other Specialist/Technologist Bonney Lake, WA

Practice location

Address: 20622 108th Street CT E, Bonney Lake, WA 98391-7969
Phone: (253) 332-3173

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 9756 (CA)

Other Specialist/Technologist, Other providers in Washington →

Registry record

NPI: 1154030401
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2022
Record last updated: 15 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.