Individual
DR. ERNEST FATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23501 112TH AVE SE, M102, KENT, WA 98031-3409
(253) 850-7837
Mailing address
23501 112TH AVE SE, M102, KENT, WA 98031-3409
(253) 850-7837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00027086
WA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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