Individual
ELICA INAGAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 116TH AVE NE STE 305, BELLEVUE, WA 98004-4623
(425) 453-1772
Mailing address
688 110TH AVE NE APT S1505, BELLEVUE, WA 98004-8441
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD61160542
WA
Other
Enumeration date
04/06/2012
Last updated
09/28/2021
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