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NPI Code Detail

MEDICARE: SEANCERAE LEONA MINOR

MEDICARE: SEANCERAE LEONA MINOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1255282638
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEANCERAE LEONA MINOR
Provider Business Mailing Address
First Line : 7700 300TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-5841
Country : US
Telephone Number : 360-209-8430
Fax Number :
Provider Business Practice Location Address
First Line : 7700 300TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-5841
Country : US
Telephone Number : 360-209-8430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ SEANCERAE LEONA MINOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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