Individual
DR. SANELA MATTIUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
10634 E RIVERSIDE DR, SUITE 130, BOTHELL, WA 98011-3757
(425) 806-5021
(425) 486-3949
Mailing address
10634 E RIVERSIDE DR, SUITE 130, BOTHELL, WA 98011-3757
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084P 0800X
TAXONOMY NUMBER
WA
Enumeration date
07/28/2016
Last updated
07/28/2016
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