Individual
DR. MUA LIEN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 S UNION AVE STE B7005, TACOMA, WA 98405-1807
(253) 459-6500
Mailing address
101 DEL MONTE AVE, FIRCREST, WA 98466-7206
(209) 471-8188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61072566
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2017
Last updated
05/21/2022
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