Individual
MISS KIMKHANH THI DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4727 DENVER AVE S, SEATTLE, WA 98134-2316
(206) 764-5574
Mailing address
25217 119TH PL SE, KENT, WA 98030-6645
(253) 373-9014
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR00056664
WA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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