Individual
JANE THUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11722 NE 134TH ST, KIRKLAND, WA 98034-2130
(978) 397-2282
(425) 522-4394
Mailing address
11722 NE 134TH ST, KIRKLAND, WA 98034-2130
(978) 397-2282
(425) 522-4394
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
754146
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134819
—
WA
Enumeration date
02/06/2020
Last updated
02/06/2020
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