Individual
JACQUELINE MARCELL-KOLEDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8715 23RD AVE NW, SEATTLE, WA 98117-3719
(206) 234-7886
Mailing address
8715 23RD AVE NW, SEATTLE, WA 98117-3719
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
60672855
WA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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