Most Relevant Information
Provider Data
| NPI Number: | 1003299769 |
| Provider Name: | CHASTITY KRIBBLE |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | MA60443424 |
Most Important Dates
| Enumeration Date: | 06/30/2015 |
| Last Updated: | 06/30/2015 |
Provider Practice Location
22002 64TH AVE W
SUITE M11A
MLT
WA
98043
Practice Location Phone/Fax
| Phone: | 2068180028 |
| Fax: | 4259840112 |
Provider Mailing Location
18705 126TH AVE NE APT 2721
BOTHELL
WA
980119349
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |