Individual
DR. KHANH BAO HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3901 NORTHRIDGE PL SE, LACEY, WA 98503-7187
(360) 402-1015
Mailing address
3901 NORTHRIDGE PL SE, LACEY, WA 98503-7187
(360) 402-1015
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 00000794
WA
Other
Enumeration date
08/29/2005
Last updated
05/01/2012
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