Individual
MS. MENAKA CHARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98206
(425) 258-7304
Mailing address
20323 98TH AVE NE, BOTHELL, WA 98011
(206) 669-0048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00008171
WA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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