Individual
KELLY MARCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13555 BEL RED RD, STE. 205, BELLEVUE, WA 98005-2397
(425) 455-2320
(425) 455-2473
Mailing address
13555 BEL RED RD, STE. 205, BELLEVUE, WA 98005-2397
(425) 455-2320
(425) 455-2473
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020531
WA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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