Individual
MICHAEL JAMES THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1732 4TH ST APT 3, BREMERTON, WA 98337-1091
(425) 641-2817
Mailing address
1732 4TH ST APT 3, BREMERTON, WA 98337-1091
(425) 641-2817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60775994
WA
164W00000X
Licensed Practical Nurse
LP60709382
WA
Other
Enumeration date
05/06/2019
Last updated
01/27/2021
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