Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 60947191 | WA |
NPI | 1760724892 |
---|---|
Provider Name | Dr. Juliana Bonilla-Velez |
First Address | Seattle, WA 98145 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 19/08/2019 |