Search › Washington › 225700000X
Mary Waggoner, LMP
NPI 1033388624 · on the registry since 2008
Practice
- Address
- 4210 20th St E
Ste D
Fife, WA 98424 - Phone
- (253) 922-0450
- Fax
- (253) 926-1720
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington