Individual
LAN PHUONG THI NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(206) 235-2370
Mailing address
11516 SE 316TH PL, AUBURN, WA 98092-5311
(206) 235-2370
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
RN60632748
WA
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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