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Individual
THANUJA U LIYANARACHCHI
Active
Individual
THANUJA U LIYANARACHCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044284
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8447625
—
WA
Enumeration date
02/06/2007
Last updated
04/28/2021
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