Becky Waltz, LMP

NPI #1194146647 in Edmonds, Washington

Provider Information

NPI Number: 1194146647
Entity Type: Individual
Name: Becky Waltz, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Dec 31, 2013
Last Updated: Jan 6, 2014

Practice Location

Address: 8401 MAIN ST
City: Edmonds
State: Washington
ZIP Code: 98026-6919
Phone: (425) 563-6893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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