Individual
PATRICK XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4619 S 189TH ST, SEATAC, WA 98188-5045
(515) 975-9688
Mailing address
4619 S 189TH ST, SEATAC, WA 98188-5045
(515) 975-9688
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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