Individual
MR. JIN LIANG GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4320 196TH ST SW STE D, LYNNWOOD, WA 98036-6753
(425) 774-8758
(425) 672-8944
Mailing address
11929 45TH AVE SE, EVERETT, WA 98208-9160
(425) 299-8218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004502
WA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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