Individual
MRS. ANGIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
625 SW 153RD ST, BURIEN, WA 98166-2216
(206) 252-8545
Mailing address
7519 138TH PL SE, NEWCASTLE, WA 98059-3090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3603TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028298
—
WA
Enumeration date
07/18/2006
Last updated
07/08/2007
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