Individual
DIANA BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 AUBURN AVE STE 300, AUBURN, WA 98002-5082
(253) 833-1217
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61028647
WA
Other
Enumeration date
12/12/2019
Last updated
12/04/2020
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