Individual
BRANDON CECCACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
(206) 616-4001
(206) 616-3889
Mailing address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61124689
WA
Other
Enumeration date
09/09/2019
Last updated
04/30/2023
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