Individual
MRS. TRACI MARKEN SAN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3400 HOLLYWOOD AVE, BELLINGHAM, WA 98225-1134
(541) 306-8097
Mailing address
2018 WHATCOM LN, BELLINGHAM, WA 98229-2238
(541) 306-8097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61090211
WA
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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