Individual
VAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1222 E MADISON ST STE D, SEATTLE, WA 98122-3909
(206) 204-8255
Mailing address
1222 E MADISON ST STE D, SEATTLE, WA 98122-3909
(206) 204-8255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61114818
WA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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