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Individual

GRACE WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3815 S OTHELLO ST, 2ND FL., SEATTLE, WA 98118-3510
(206) 788-3535
(206) 788-3521
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3616
(206) 652-5216

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034417
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014656
WA
05
8204653
WA
Enumeration date
08/29/2006
Last updated
12/03/2020
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