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Individual

AN D PHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14607 52ND AVE W UNIT 402, EDMONDS, WA 98026-3853
(425) 405-2157
Mailing address
14607 52ND AVE W UNIT 402, EDMONDS, WA 98026-3853
(425) 405-2157

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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