Individual
KEVIN TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16101 BOTHELL EVERETT HWY UNIT E203, MILL CREEK, WA 98012-1207
(425) 736-1476
Mailing address
16101 BOTHELL EVERETT HWY UNIT E203, MILL CREEK, WA 98012-1207
(425) 736-1476
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60451963
WA
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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