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Individual

MS. JEANNIE CHIA HUI CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, MPAS

Contact information

Practice address
22707 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 455-2845
(425) 861-8602
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA18135
CA
363A00000X
Physician Assistant
Primary
PA10005195
WA

Other

Enumeration date
12/13/2006
Last updated
05/29/2015
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