Provider Demographics
NPI:1326857293
Name:LUNA DE SARDELLA, MARIANELLA
Entity type:Individual
Prefix:
First Name:MARIANELLA
Middle Name:
Last Name:LUNA DE SARDELLA
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 1:5825 136TH PL SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-9486
Mailing Address - Country:US
Mailing Address - Phone:425-247-9991
Mailing Address - Fax:
Practice Address - Street 1:5825 136TH PL SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-9486
Practice Address - Country:US
Practice Address - Phone:425-247-9991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter