Individual
MS. MICHELLE GWON LAN MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-1111
(206) 223-8824
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.003769
IL
363A00000X
Physician Assistant
54041
CA
363A00000X
Physician Assistant
Primary
PA60806023
WA
Other
Enumeration date
08/23/2010
Last updated
01/02/2018
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