Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | MA60111341 | WA |
NPI | 1730411315 |
---|---|
Provider Name | Julia Grace Hallinan |
First Address | Spanaway, WA 98387-0070 |
Second Address | Spanaway, WA 98387-8263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2010 |
Last Update Date | 05/02/2010 |