Provider Demographics
NPI:1932710803
Name:DEMARCO, HALEY (LAC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:DEMARCO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 1/2 NW 49TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3544
Mailing Address - Country:US
Mailing Address - Phone:781-724-5546
Mailing Address - Fax:
Practice Address - Street 1:509 OLIVE WAY STE 1258
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1765
Practice Address - Country:US
Practice Address - Phone:206-332-0868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist