Organization
DIANA TATTONI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA MARTINEZ (OFFICE MARTINEZ)
(425) 828-3626
Entity
Organization
Contact information
Practice address
433 STATE ST S STE 1, KIRKLAND, WA 98033-6615
(425) 828-3626
(425) 828-3628
Mailing address
433 STATE ST S STE 1, KIRKLAND, WA 98033-6615
(425) 828-3626
(425) 828-3628
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
BUS0973
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1049303
—
WA
Enumeration date
06/16/2008
Last updated
06/16/2008
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