Individual
AMIHAN THONGOULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14170 104TH PL NE, KIRKLAND, WA 98034-9441
(425) 361-9681
Mailing address
14170 104TH PL NE, KIRKLAND, WA 98034-9441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00167189
WA
207QA0505X
Adult Medicine Physician
RN00167189
WA
Other
Enumeration date
05/14/2021
Last updated
06/09/2021
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