Individual
HONG-AN PHUC NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15215 52ND AVE S STE 204, TUKWILA, WA 98188-2354
(206) 414-9412
Mailing address
15215 52ND AVE S STE 204, TUKWILA, WA 98188-2354
(206) 414-2354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61440786
WA
Other
Enumeration date
12/28/2018
Last updated
07/05/2023
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