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Individual

MARIELLA FAASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6600
Mailing address
53 SANTA ANA AVE, NEW ORLEANS, LA 70121-2302

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219678
LA

Other

Enumeration date
02/20/2024
Last updated
02/20/2024
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