Individual
MINA LUONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 9TH AVE # MS 359797, SEATTLE, WA 98104-2499
(206) 744-9656
(206) 744-9914
Mailing address
325 9TH AVE # MS 359797, SEATTLE, WA 98104-2499
(206) 744-9656
(206) 744-9914
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
LUON301144
WA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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