Individual
DANIEL M KWAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19256 2ND AVE S, DES MOINES, WA 98148-2106
(206) 380-5195
Mailing address
19256 2ND AVE S, DES MOINES, WA 98148-2106
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
750360
WA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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