Individual
GYNINE TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 142ND AVE SE, 66, BELLEVUE, WA 98007-6607
(330) 554-2507
Mailing address
503 142ND AVE SE, 66, BELLEVUE, WA 98007-6607
(330) 554-2507
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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