Individual
HIEP PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2541 29TH AVE S APT 11, SEATTLE, WA 98144-5416
(206) 883-2150
Mailing address
2541 29TH AVE S, #11, SEATTLE, WA 98144-5429
(206) 883-2150
(206) 567-9802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60235112
WA
171R00000X
Interpreter
MC11816
WA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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