Individual
MELODY JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24027 MERIDIAN AVE S, BOTHELL, WA 98021-8727
(206) 510-8838
Mailing address
24027 MERIDIAN AVE S, BOTHELL, WA 98021-8727
(206) 510-8838
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
752680
WA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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