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Individual

MITRA PANAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5002 134TH PL SE, BELLEVUE, WA 98006-4250
(425) 326-0723
Mailing address
5002 134TH PL SE, BELLEVUE, WA 98006-4250
(425) 326-0723

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
604008297
WA

Other

Enumeration date
09/22/2020
Last updated
09/22/2020
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