Individual
GRACE TANG KIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-8277
Mailing address
645 W 9TH ST APT 530, LOS ANGELES, CA 90015-1652
(518) 253-2285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97564
CA
207RI0200X
Infectious Disease Physician
A97564
CA
207RI0200X
Infectious Disease Physician
Primary
MD2023-0276
NM
207RI0200X
Infectious Disease Physician
MD61061146
WA
208000000X
Pediatrics Physician
A97564
CA
Other
Enumeration date
06/28/2007
Last updated
04/01/2025
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