Kimberly Marie Reisen

NPI #1104145432 in Gig Harbor, Washington

Provider Information

NPI Number: 1104145432
Entity Type: Individual
Name: Kimberly Marie Reisen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: May 26, 2010
Last Updated: May 26, 2010

Practice Location

Address: 2601 JAHN AVE NW
Address 2: SUITE A-7
City: Gig Harbor
State: Washington
ZIP Code: 98335-8900
Phone: (253) 857-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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