Mary Jo Bukovic, CCP

NPI #1003151325 in Seattle, Washington

Provider Information

NPI Number: 1003151325
Entity Type: Individual
Name: Mary Jo Bukovic, CCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: CCP
Enumeration Date: Nov 28, 2012
Last Updated: Nov 28, 2012

Practice Location

Address: 1100 9TH AVE
City: Seattle
State: Washington
ZIP Code: 98101-2756
Phone: (206) 223-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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