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Individual

GLORIA YOUNGJU NAM

Active
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Individual

GLORIA YOUNGJU NAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00153013
WA
207Q00000X
Family Medicine Physician
AP30006808
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30006808
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9643594
WA
Enumeration date
03/23/2006
Last updated
07/21/2022
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