Individual
TRACI GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2027 196TH ST SW STE R1, LYNNWOOD, WA 98036-7073
(425) 697-3907
Mailing address
4525 164TH ST SW, LYNNWOOD, WA 98087-8609
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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