Individual
FANGGE SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
5801 NE 180TH ST, KENMORE, WA 98028-4520
(425) 489-0718
(425) 489-0718
Mailing address
5801 NE 180TH ST, KENMORE, WA 98028-4520
(425) 489-0718
(425) 489-0718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00112621
WA
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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