Individual
CRYSTAL-ROSE BRIDGETT CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4540 SAND POINT WAY NE STE 200, SEATTLE, WA 98105-3941
(206) 987-2028
Mailing address
4540 SAND POINT WAY NE STE 200, SEATTLE, WA 98105-3941
(206) 987-2028
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD60841041
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
06/30/2021
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