Individual
CONNOR P MAMIKUNIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST., A-300 HEALTH SCIENCES CENTER 356340, SEATTLE, WA 98195
(206) 543-7212
Mailing address
1215 DEXER AVE NORTH, APT 734, SEATTLE, WA 98109
(907) 301-6192
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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