Individual
GENA M BEYROUTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2930 228TH AVE SE, SAMMAMISH, WA 98075-9516
(425) 313-0123
Mailing address
23429 SE 251ST PL, MAPLE VALLEY, WA 98038-5910
(425) 313-0123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00008471
WA
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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