Individual
SARAH ELISE PETRICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12040 NE 128TH ST # MS 105, KIRKLAND, WA 98034-3013
(425) 899-2560
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 60222017
WA
207R00000X
Internal Medicine Physician
ML60019673
WA
Other
Enumeration date
08/06/2008
Last updated
10/30/2011
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