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Individual

DR. CHRISTIANE DENISE MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60106616
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
158600
PTAN
05
2006273
WA
01
G8901688
PTAN
WA
01
G8901689
PTAN
WA
01
G8901690
PTAN
WA
01
G8901691
PTAN
WA
01
G8901692
PTAN
WA
01
G8901693
PTAN
WA
Enumeration date
08/31/2006
Last updated
04/12/2017
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