Individual
FRANKLIN THOMAS MASTELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 546-9766
Mailing address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 546-9766
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115260201
DSHS, PROVIDERONE
WA
Enumeration date
12/01/2017
Last updated
12/01/2017
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