Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | ML20008179 | WA |
NPI | 1003925827 |
---|---|
Provider Name | Marcella Theresia Mascher Denen |
First Address | Seattle, WA 98195-6340 |
Second Address | Seattle, WA 98195-6340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 08/07/2007 |