Individual
MRS. DONNAJEANNE MARY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
18949 108TH AVE NE, BOTHELL, WA 98011-3015
(425) 760-3984
Mailing address
9908 214TH PL SE, SNOHOMISH, WA 98296-7117
(425) 760-3984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60155497
WA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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