Individual
ANYA LISHA ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
9245 RAINIER AVENUE SOUTH, SEATTLE, WA 98118
(206) 548-3638
Mailing address
9245 RAINIER AVENUE SOUTH, SEATTLE, WA 98118
(206) 548-3638
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RR60760772
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
12/19/2017
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