Provider Demographics
NPI:1225846009
Name:MASJIDI, SALMA (202858508WA)
Entity type:Individual
Prefix:
First Name:SALMA
Middle Name:
Last Name:MASJIDI
Suffix:
Gender:F
Credentials:202858508WA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27400 132ND AVE SE APT J108
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-9090
Mailing Address - Country:US
Mailing Address - Phone:425-479-5453
Mailing Address - Fax:
Practice Address - Street 1:27400 132ND AVE SE APT J108
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-9090
Practice Address - Country:US
Practice Address - Phone:425-479-5453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-25
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA7657766374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula