Individual
MISS HIU HUNG PHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
14042 NE 8TH STREET, #104, BELLEVUE, WA 98007
(206) 992-3791
Mailing address
16240 NE12TH CT, B14, BELLEVUE, WA 98008
(206) 992-3791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019849
WA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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