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NPI Code Detail

MEDICARE: CHRISTEEN DENEUI COA

MEDICARE:   CHRISTEEN  DENEUI  COA
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
1156FX1101XOphthalmic Assistant

General Provider Information

NPI Number : 1306401278
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTEEN DENEUI COA
Provider Business Mailing Address
First Line : 320 W GALER ST STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98119-3065
Country : US
Telephone Number : 206-347-0821
Fax Number :
Provider Business Practice Location Address
First Line : 320 W GALER ST STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98119-3065
Country : US
Telephone Number : 206-347-0821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2019
Last Update Date : 06/14/2021

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Directions to “ CHRISTEEN DENEUI COA” Practice Location

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