Johanna Blair De Haan M.D.

NPI 1619242070 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1619242070
Gender Female
Enumeration Date 03/19/2012
Last Updated 03/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1959 NE PACIFIC ST
BOX #356410
SEATTLE WA, 98195-6410, US
Phone (206) 543-3687
Fax
Business Location
1959 NE PACIFIC ST
BOX #356410
SEATTLE WA, 98195-6410, US
Phone (206) 543-3687
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
Remove 1619242070 NPI Number
 

According to our database, Dr. Johanna Blair De Haan M.D. NPI is 1619242070, taxonomy code is 390200000X Johanna Blair De Haan M.D. physically located at 1959 Ne Pacific St, Seattle WA, 98195-6410. NPI Number Johanna Blair De Haan M.D. has the Individual type.

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1619242070 NPI number is provided on an as is basis without warranty of any kind. 1619242070 is maintained by the National Plan & Provider Enumeration System. The contents of Johanna Blair De Haan M.D. are for informational purposes only.