Individual
RONG FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4807 196TH ST SW STE 100, LYNNWOOD, WA 98036-6409
(425) 774-4269
Mailing address
4807 196TH ST SW STE 100, LYNNWOOD, WA 98036-6409
(425) 774-4269
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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