Individual
MR. HIU NAM WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23419 17TH AVENUE SOUTHEAST, BOTHELL, WA 98021
(425) 599-9542
Mailing address
23419 17TH AVENUE SOUTHEAST, BOTHELL, WA 98021
(425) 599-9542
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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