MS. Elissa Noel O Grady, LMP

NPI #1730397308 in Bellingham, Washington

Provider Information

NPI Number: 1730397308
Entity Type: Individual
Name: MS. Elissa Noel O Grady, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1810 BROADWAY
City: Bellingham
State: Washington
ZIP Code: 98225-3133
Phone: (360) 734-9525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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