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Individual

SANA ISA PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10413 NE 37TH CIR BLDG 3, SUITE B, KIRKLAND, WA 98033-7924
(425) 803-0136
(425) 803-9864
Mailing address
10413 NE 37TH CIR BLDG 3, SUITE B, KIRKLAND, WA 98033-7924
(425) 803-0136
(425) 803-9864

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037248
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1041IS
REGENCE
WA
01
204620
LABOR & INDUSTRIES
WA
Enumeration date
01/04/2007
Last updated
07/08/2007
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