Individual
AXA MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 150TH AVE SE, BELLEVUE, WA 98006-1668
(425) 460-7140
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
WA
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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