Individual
MS. JANICE MAZO OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 17TH AVE, SUITE 500, SEATTLE, WA 98122
(206) 320-2800
(206) 320-2827
Mailing address
550 17TH AVE, SUITE 500, SEATTLE, WA 98122
(206) 320-2800
(206) 320-2827
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60277371
WA
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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