NPI 1003151325
Mary Jo Bukovic, CCP
Practice location
- Address
- 1100 9th Ave, Seattle, WA 98101-2756
- Phone
- (206) 223-6600
- Mailing address
- 4043 S Abilene Cir #a, Aurora, CO 80014-7377
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1003151325
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2012
- Record last updated
- 28 Nov 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.