Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1101X | Ophthalmic Assistant |
NPI | 1306401278 |
---|---|
Provider Name | Christeen Deneui |
First Address | Seattle, WA 98119-3065 |
Second Address | Seattle, WA 98119-3065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2019 |
Last Update Date | 14/06/2021 |