Individual
MIA ASYA THAMMAVONGSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(425) 773-5870
Mailing address
21240 SE 248TH ST, MAPLE VALLEY, WA 98038-5509
(425) 773-5870
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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