1041C0700X
Bellevue, WA
Specialty
1041C0700X
Credential
LCSW, LICSW
NPI
1104106491
11511 Ne 10th St, Bellevue, WA 98004
(425) 774-1538Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X