RUSSOM DESTA

SEATTLE, WA
NPI1245971209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
RUSSOM DESTA MD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-543-3605
Mailing Address
RUSSOM DESTA MD
1959 NE PACIFIC ST BOX 356421
SEATTLE, WA 98195-0001
Phone number: 206-543-3605
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