Individual
MARIA PAVLOVA MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1419 3RD AVE, SEATTLE, WA 98101-2105
(425) 442-6810
Mailing address
15623 1ST AVE S, SUITE C, BURIEN, WA 98148-1292
(206) 444-6320
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00023472
WA
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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