Individual
MAI NGOC PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 E YESLER WAY, SEATTLE, WA 98122-5959
(206) 299-1900
(206) 299-1906
Mailing address
2101 E YESLER WAY, SEATTLE, WA 98122-5959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00124384
WA
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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