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Individual

SUMMER KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.P.

Contact information

Practice address
13353 NE BEL RED RD, #103, BELLEVUE, WA 98005-2329
(425) 679-5996
Mailing address
12036 100TH AVE NE, UNIT: K304, KIRKLAND, WA 98034-3849
(920) 265-8843

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60736635
WA

Other

Enumeration date
05/02/2017
Last updated
05/02/2017
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