Individual
MAGGIE SEKERAMAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 215-1123
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 215-1123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00047825
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221362
STATE L&I
WA
05
—
1045688
—
WA
05
—
8491565
—
WA
01
—
8945498
STATE CRIME VICTIMS
WA
01
—
P00459010
RAILROAD
WA
Enumeration date
06/07/2007
Last updated
12/09/2020
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