Individual
WONITA SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 MARTIN LUTHER KING JR WAY, SUITE 300, TACOMA, WA 98405-4250
(253) 274-1668
(253) 274-1685
Mailing address
314 MARTIN LUTHER KING JR WAY, SUITE 300, TACOMA, WA 98405-4250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60648175
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2012
Last updated
11/10/2016
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