Individual
LAI MIN THEODORA FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 13TH AVE S, SEATTLE, WA 98108-2706
(206) 461-6943
Mailing address
15002 122ND PL NE, KIRKLAND, WA 98034-4545
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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