Provider Demographics
NPI:1316216583
Name:HUFF, SARAJANE PRISCILLA (LMP)
Entity Type:Individual
Prefix:MRS
First Name:SARAJANE
Middle Name:PRISCILLA
Last Name:HUFF
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 NE 27TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-2234
Mailing Address - Country:US
Mailing Address - Phone:206-714-7391
Mailing Address - Fax:
Practice Address - Street 1:2311 NE 27TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-2234
Practice Address - Country:US
Practice Address - Phone:206-714-7391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-17
Last Update Date:2011-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00020472174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist