| Doctor Name: | MARIA LUISA DY |
| NPI Number: | 1508259979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD00043265 |
| Business Practice Address: | 2425 S 200th St Seatac, WA - 981985202 |
| Business Phone Number: | 2068705739 |
| Business Fax Number: | |
| Mailing Address: | Po Box 13901, SEATAC |
| State: | WA |
| Postal Code: | 981981091 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2015 |
| NPI Last Update Date: | 03/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | MD00043265 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |