Individual
NATHAN SHING-TAK IP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3526A WALLINGFORD AVE N, SEATTLE, WA 98103-9043
(253) 970-5385
Mailing address
3526A WALLINGFORD AVE N, SEATTLE, WA 98103-9043
(253) 970-5385
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR60595479
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR60595479
INTERN PHARMACY
WA
Enumeration date
11/13/2016
Last updated
11/13/2016
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