Individual
MS. AMY PUI KWAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-7014
(253) 968-2252
Mailing address
469 LAS TUNAS DR, ARCADIA, CA 91007-8424
(626) 675-0576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A128156
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/17/2012
Last updated
04/07/2023
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