Provider Demographics
NPI:1477744415
Name:D'AURIA, MARY CHRISTINE (M T)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CHRISTINE
Last Name:D'AURIA
Suffix:
Gender:F
Credentials:M T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12702 E CONNOR RD
Mailing Address - Street 2:
Mailing Address - City:VALLEYFORD
Mailing Address - State:WA
Mailing Address - Zip Code:99036-9792
Mailing Address - Country:US
Mailing Address - Phone:509-927-8807
Mailing Address - Fax:
Practice Address - Street 1:12702 E CONNOR RD
Practice Address - Street 2:
Practice Address - City:VALLEYFORD
Practice Address - State:WA
Practice Address - Zip Code:99036-9792
Practice Address - Country:US
Practice Address - Phone:509-927-8807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00000409174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist