Individual
CHOMVANNARITH YATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 140TH PL NE, BELLEVUE, WA 98007-3915
(425) 747-7892
Mailing address
1412 140TH PL NE, BELLEVUE, WA 98007-3915
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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