Individual
SENAIT ESHTTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5131 COLBY AVE STE B, EVERETT, WA 98203-3355
(425) 783-0404
Mailing address
22806 45TH PL W, MOUNTLAKE TERRACE, WA 98043-4402
(206) 295-1116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016778
WA
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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