Individual
MARY MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 3RD AVE S, SEATTLE, WA 98134-1923
(206) 252-0000
Mailing address
2445 3RD AVE S, SEATTLE, WA 98134-1923
(206) 999-2558
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00074594
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN 00074594
—
WA
Enumeration date
09/26/2014
Last updated
09/26/2014
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