Most Relevant Information
Provider Data
| NPI Number: | 1003694308 |
| Provider Name: | MARK DANIELS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2023 |
| Last Updated: | 09/18/2023 |
Provider Practice Location
11000 LAKE CITY WAY NE
SEATTLE
WA
981256748
Practice Location Phone/Fax
| Phone: | 2535283632 |
| Fax: |
Provider Mailing Location
6100 SOUTHCENTER BLVD
TUKWILA
WA
981882442
Provider Mailing Phone/Fax
| Phone: | 2069012000 |
| Fax: |