Individual
DIANE MAHLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15940 AVONDALE RD NE, WOODINVILLE, WA 98077-9320
(425) 408-4200
Mailing address
11325 19TH AVE SE APT D212, EVERETT, WA 98208-5171
(425) 780-3223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61342671
WA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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