Individual
MARIYA PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
23303 HIGHWAY 99 STE G, EDMONDS, WA 98026-8762
(425) 697-5188
(425) 678-1928
Mailing address
16638 JUANITA DR NE APT G201, KENMORE, WA 98028-6332
(425) 891-0495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190566
LABOR & INDUSTRIES PIN #
WA
Enumeration date
01/08/2007
Last updated
07/08/2007
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