Individual
JANINE RUTH MAENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-5100
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD00037954
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231452
L&I
WA
05
—
1427134295
—
WA
01
—
255970
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
12/28/2012
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