Judith Lee Haight, 3747a0650 technician
Technician, Attendant Care Provider in Lynnwood, WA. Individual provider (NPI-1).
NPI number1114643665
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1114643665
- Entity type
- Individual (NPI-1)
- Name
- Judith Lee Haight
- Credential
- 3747a0650 technician
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2022
- Certification date
- Oct 17, 2022
- Last updated
- Oct 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
18910 40th Ave WLynnwood, WA 98036-5603
Phone 425-210-7267
Mailing address
18910 40th Ave WLynnwood, WA 98036-5603
Phone 425-210-7267
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