NPI 1033246293

Guinevere Ilana Amadeo, LMP

Practitioner Specialist Mountlake Terrace, WA

Practice location

Address: 5104 239th Pl SW, Mountlake Terrace, WA 98043-5625
Phone: (206) 948-9823

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00022752 (WA)

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Registry record

NPI: 1033246293
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2007
Record last updated: 8 Jul 2007

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.