KENNETH R MARAVILLA

SEATTLE, WA
NPI1679658488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WA  MD00024376)
Enumeration Date2006-10-27
Last Update Date2013-01-25
Business Address
KENNETH R MARAVILLA
UNIVERSITY OF WASHINGTON MEDICAL CTR 1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-598-6214
Mailing Address
KENNETH R MARAVILLA
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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