Individual
AVANSSA KIM HUYHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1655 COOPER POINT RD SW, OLYMPIA, WA 98502-5735
(360) 352-9100
(360) 352-9108
Mailing address
1400 EVERGREEN PARK DRIVE SW, APT E6, OLYMPIA, WA 98502
(360) 352-9100
(360) 352-9108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60104055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60104055
PRIVATE INSURANCE AND CASH ONLY
WA
Enumeration date
08/19/2009
Last updated
08/19/2009
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