Individual
MUJALIN THUNTARUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14212 AMBAUM BLVD SW, SUITE 106, BURIEN, WA 98166-1449
(206) 244-5520
(206) 957-0034
Mailing address
14212 AMBAUM BLVD SW, SUITE 106, BURIEN, WA 98166-1449
(206) 244-5520
(206) 957-0034
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.60512148
WA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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