Individual
ANITA FANJUL PENUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1124 COLUMBIA ST STE 620, SEATTLE, WA 98104-2046
(206) 920-4161
Mailing address
7317 56TH AVE NE, SEATTLE, WA 98115-6224
(206) 920-4161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8235954
—
WA
Enumeration date
06/01/2006
Last updated
07/27/2023
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