Individual
SEMIDA MOLDOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4613 240TH ST SE, BOTHELL, WA 98021-9040
(425) 487-9373
(425) 487-9373
Mailing address
4613 240TH ST SE, BOTHELL, WA 98021-9040
(425) 487-9373
(425) 487-9373
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
480400
WA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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