Individual
SIVAN KOMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 25TH AVE NE STE 102W, SEATTLE, WA 98105-5667
(206) 257-0134
Mailing address
922 N 102ND ST APT B, SEATTLE, WA 98133-9327
(901) 488-9416
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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