363LX0001X
Bellevue, WA
Specialty
363LX0001X
Credential
ARNP CNM
NPI
1205811353
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 363lx0001x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LX0001X