Individual
MILITZA AUSMANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 N 5TH AVE, SUITE 2100, SEQUIM, WA 98382-3045
(360) 582-2850
(360) 582-2851
Mailing address
840 N 5TH AVE, SUITE 2100, SEQUIM, WA 98382-3045
(360) 582-2850
(360) 582-2851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
60323387
WA
207Q00000X
Family Medicine Physician
Primary
MD60323387
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202856
—
WA
01
—
406866
LAB AND INDUSTRIES
WA
Enumeration date
07/17/2007
Last updated
08/14/2019
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