Individual
RAMAN WUNPHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 112TH ST SW, EVERETT, WA 98204-3784
(425) 513-1600
Mailing address
108 FOREST CT, EVERETT, WA 98203-2069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60033383
WA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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