Individual
HEATHER LYNN MAIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST # 357470, SEATTLE, WA 98195-0001
(206) 685-1624
(206) 543-3644
Mailing address
1959 NE PACIFIC STREET BOX 357470, SEATTLE, WA 98195-6422
(206) 685-1624
(206) 543-3644
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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