Individual
SHAQUAVIA ROSALEE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
(425) 657-0620
(425) 502-8425
Mailing address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
(425) 657-0620
(425) 502-8425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.MD.61616273
WA
208000000X
Pediatrics Physician
MT224503
PA
Other
Enumeration date
06/30/2021
Last updated
11/15/2024
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