Individual
MARIE LUZ VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00032190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227820
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8133415
—
WA
Enumeration date
10/27/2006
Last updated
01/17/2012
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