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Organization

FULLCIRCLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINA SUKTA (BIRTH DOULA)
(206) 779-1232
Entity
Organization

Contact information

Practice address
106 MADRONA PL E, SEATTLE, WA 98112-5010
(206) 779-1232
Mailing address
106 MADRONA PL E, SEATTLE, WA 98112-5010
(206) 779-1232

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
11
WA
305R00000X
Preferred Provider Organization
Primary
374J00000X
WA

Other

Enumeration date
02/07/2014
Last updated
07/21/2022
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