Doctor Name: | ANTOINETTE T WRIGHT |
NPI Number: | 1508044033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00024495 |
Business Practice Address: | 204 S 348th St Ste 3 Federal Way, WA - 980037041 |
Business Phone Number: | 2537974567 |
Business Fax Number: | |
Mailing Address: | 36915 5th Ave Sw, FEDERAL WAY |
State: | WA |
Postal Code: | 980237346 |
Phone Number: | 2537974567 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2008 |
NPI Last Update Date: | 12/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00024495 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |