Individual
ALICIA CHONG-SAULSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11911 CLOVER CREEK DR SW, LAKEWOOD, WA 98499-1219
(706) 831-6775
Mailing address
11911 CLOVER CREEK DR SW, LAKEWOOD, WA 98499-1219
(706) 831-6775
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60321586
WA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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