Individual
MRS. MITZI MAE H LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60076686
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760589014
—
WA
Enumeration date
09/20/2006
Last updated
08/02/2019
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