Individual
MELINA LICONG CHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 183RD ST SW, LYNNWOOD, WA 98037-7228
(206) 832-6988
(425) 967-5181
Mailing address
16529 8TH AVE NE, SHORELINE, WA 98155-5011
(206) 832-6988
(425) 967-5181
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
753429
WA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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