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Individual

SUNG YE PAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
7521 BRIDGEPORT WAY W, SUITE B, LAKEWOOD, WA 98499-2423
(253) 241-6798
Mailing address
PO BOX 88021, STEILACOOM, WA 98388-0021
(253) 459-4371

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023361
WA

Other

Enumeration date
07/17/2009
Last updated
07/17/2009
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