Individual
BECKY VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6605 196TH ST SW, LYNNWOOD, WA 98036-5923
(425) 678-8763
Mailing address
6605 196TH ST SW, LYNNWOOD, WA 98036-5923
(425) 678-8763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60212025
WA
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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