THEA MAXIM

SHORELINE, WA
NPI1548135353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  CO61403069)
Enumeration Date2025-10-09
Last Update Date2025-10-09
Business Address
THEA MAXIM SUDPT
16715 AURORA AVE N STE 102
SHORELINE, WA 98133-5310
Phone number: 206-546-9766
Mailing Address
THEA MAXIM SUDPT
5802 169TH AVE NE
SNOHOMISH, WA 98290-4544
Phone number: 206-375-2527
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