Individual
DAVIN TSUBOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5235 18TH AVE NE, SEATTLE, WA 98105-3409
(808) 358-8337
Mailing address
1959 NE PACIFIC ST # H362, SEATTLE, WA 98195-3409
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR60610027
WA
Other
Enumeration date
10/10/2016
Last updated
11/14/2016
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