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Individual

DR. MANIJA MAINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1801 10TH AVE NW, ISSAQUAH, WA 98027-5384
(425) 313-9200
Mailing address
1801 10TH AVE NORTHWEST, ISSAQUAH, WA 98027
(425) 313-9200

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00053366
WA

Other

Enumeration date
02/28/2012
Last updated
02/28/2012
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