Individual
AI-GIANG T TRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11235 SE 268TH ST, KENT, WA 98030-7180
(253) 854-4188
Mailing address
11235 SE 268TH ST, KENT, WA 98030-7180
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN00147031
WA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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