Individual
PAUL MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14012 163RD PL SE, RENTON, WA 98059-3662
(206) 214-7516
Mailing address
14012 163RD PL SE, RENTON, WA 98059-3662
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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