Individual
BAO G DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32848 19TH AVE SW, FEDERAL WAY, WA 98023-6430
(215) 939-1654
Mailing address
32848 19TH AVE SW, FEDERAL WAY, WA 98023-6430
(215) 939-1654
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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