Individual
DR. JENNIE MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 731-6291
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00032750
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239215
L&I
WA
05
—
8176232
—
WA
Enumeration date
10/17/2005
Last updated
04/23/2009
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