Individual
RYAN ANTHONY ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
17515 SE 47TH ST, BELLEVUE, WA 98006-6533
(206) 650-7395
Mailing address
17515 SE 47TH ST, BELLEVUE, WA 98006-6533
(206) 650-7395
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD 60168077
WA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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