Individual
MIKALA JAMES RAISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(703) 901-2591
Mailing address
8230 CARRLEIGH PKWY, SPRINGFIELD, VA 22152-1726
(170) 390-1259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60913436
WA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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