Individual
MR. DICKSON USIM MANG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
621 SW 133RD ST, BURIEN, WA 98146-3252
(360) 464-7693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60160112
WA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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