Individual
MISS MARISOL SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC 60355053
Contact information
Practice address
8807 EMERSON PL, EVERETT, WA 98208-1947
(206) 356-6529
Mailing address
8807 EMERSON PL, EVERETT, WA 98208-1947
(206) 356-6529
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
604605339
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6035505
—
WA
01
—
60355053
MADICARE AND MEDICAID
WA
01
—
604605339
MADICARE AND MEDICAID
WA
05
—
604605339
—
WA
Enumeration date
06/09/2020
Last updated
06/09/2020
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