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Organization
KOREAN WOMEN'S ASSOCIATION
Active
Organization
KOREAN WOMEN'S ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ANSARA (CEO)
(253) 538-8340
Entity
Organization
Contact information
Practice address
123 E 96TH ST, TACOMA, WA 98445-2001
(253) 535-4202
(253) 535-4827
Mailing address
123 E 96TH ST, TACOMA, WA 98445-2001
(253) 535-4202
(253) 535-4827
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.00000362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113863
—
WA
Enumeration date
05/08/2015
Last updated
06/29/2020
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