Individual
MRS. MARYELLEN MACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 EAST MAIN STREET, SUITE 100, AUBURN, WA 98002
(253) 939-9654
(253) 939-6549
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00026114
WA
Other
Enumeration date
07/08/2006
Last updated
04/02/2012
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