Provider Demographics
NPI:1255167482
Name:DAWOOD, DALYA
Entity type:Individual
Prefix:
First Name:DALYA
Middle Name:
Last Name:DAWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 2ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC
Mailing Address - State:WA
Mailing Address - Zip Code:98047-1430
Mailing Address - Country:US
Mailing Address - Phone:206-356-9229
Mailing Address - Fax:
Practice Address - Street 1:204 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:PACIFIC
Practice Address - State:WA
Practice Address - Zip Code:98047-1430
Practice Address - Country:US
Practice Address - Phone:206-356-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter