NPI 1659409837

Theresa Clary, LMP

Practitioner Contractor Kent, WA

Practice location

Address: 205 E James St Suite # 100, Kent, WA 98032-4555
Phone: (206) 579-5007
Fax: (253) 631-2090
Mailing address: 18125 SE 246th St, Covington, WA 98042-4851

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA00018777 (WA)

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Registry record

NPI: 1659409837
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2007
Record last updated: 8 Jul 2007

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.