Individual
MS. JANICE SUE BAACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9250 45TH AVE SW, SEATTLE, WA 98136-2633
(206) 937-4140
Mailing address
3702 SW 106TH ST, SEATTLE, WA 98146-1163
(206) 937-4140
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00004984
WA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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