Individual
MACECILIA B ANIS-MUHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1919 112TH ST SW, EVERETT, WA 98204-3784
(425) 513-1600
Mailing address
415 85TH DR SE, LAKE STEVENS, WA 98258-7377
(425) 377-1856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 60007004
WA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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