Individual
DARA UCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 NE 50TH ST, SEATTLE, WA 98105-4406
(206) 204-0145
Mailing address
1205 NE 50TH ST, SEATTLE, WA 98105-4406
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR00069712
WA
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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