Individual provider · Type 1 NPI

Mary Ann Lara

Student in an Organized Health Care Education/Training Program · Tukwila, WA

NPI number 1538720271 Active

Practice location

6400 Southcenter Blvd Fl 2
Tukwila, WA 98188-2547

Call (206) 444-3600 Map

Mailing address

6400 Southcenter Blvd Fl 1
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1538720271

Mary Ann Lara's National Provider Identifier is 1538720271, issued on Jun 24, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tukwila, WA. The record was last updated on Sep 23, 2021.