Individual
SHANSHAN MOU BOND
Active
Individual
SHANSHAN MOU BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60352938
WA
208M00000X
Hospitalist Physician
MD60352938
WA
390200000X
Student in an Organized Health Care Education/Training Program
A118118
CA
Other
Enumeration date
07/09/2010
Last updated
03/29/2021
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