Individual
JUSTIN REALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 8TH AVE N, SEATTLE, WA 98109-6304
(206) 957-9050
Mailing address
4525 164TH ST SW APT B105, LYNNWOOD, WA 98087-8600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023970
WA
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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