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THERESA JACQUELINE SALLY PENDRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
325 9TH AVE,, SEATTLE, WA 98104-2499
(206) 731-3590
Mailing address
325 9TH AVE,BOX 359777, SEATTLE, WA 98104-2499

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30000414
WA

Other

Enumeration date
11/16/2006
Last updated
07/08/2007
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