Individual
NAM VAN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
834 SW 134TH ST, BURIEN, WA 98146-3139
(206) 484-7460
Mailing address
834 SW 134TH ST, BURIEN, WA 98146-3139
(206) 484-7460
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC11087
WA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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