Individual
JOAN C TSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391-7385
(253) 750-6000
(253) 750-6100
Mailing address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391-7385
(253) 750-6000
(253) 750-6100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60587855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719209
MEDICARE
—
05
—
100373060K
—
KS
Enumeration date
04/28/2006
Last updated
04/14/2017
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