Individual
AUDREY NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31515 PETE VON REICHBAUER WAY S UNIT 108, FEDERAL WAY, WA 98003-5599
(253) 465-9189
Mailing address
31515 PETE VON REICHBAUER WAY S UNIT 108, FEDERAL WAY, WA 98003-5599
(253) 465-9189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027248
OH
Other
Enumeration date
06/06/2023
Last updated
10/25/2024
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