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NPI Code Detail

MEDICARE: CRISTINA MARIA PERSA MS, ND

MEDICARE:   CRISTINA MARIA PERSA  MS, ND
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
1175F00000XNaturopathNT60417517WA

General Provider Information

NPI Number : 1376974287
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA MARIA PERSA MS, ND
Provider Business Mailing Address
First Line : 6839 FORT DENT WAY STE 134
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2597
Country : US
Telephone Number : 206-812-9988
Fax Number : 206-812-9989
Provider Business Practice Location Address
First Line : 6839 FORT DENT WAY STE 134
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2597
Country : US
Telephone Number : 206-812-9988
Fax Number : 206-812-9989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2013
Last Update Date : 12/02/2013

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Directions to “ CRISTINA MARIA PERSA MS, ND” Practice Location

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