Individual
SUZANNE PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4423 PT FSDICK DR NW STE 100-6, GIG HARBOR, WA 98335-1797
(253) 851-1801
Mailing address
4423 PT FSDICK DR NW STE 100-6, GIG HARBOR, WA 98335-1797
(253) 851-1801
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113863
—
WA
Enumeration date
10/23/2019
Last updated
10/07/2024
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