Individual
MARIA TRETIAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3145
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD60292757
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427341791
—
WA
Enumeration date
05/19/2011
Last updated
01/07/2013
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