Organization
SILVERLAKE CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNGMIN AHN L.AC. (OWNER)
(425) 523-8878
Entity
Organization
Contact information
Practice address
11419 19TH AVE SE STE C106, EVERETT, WA 98208-5120
(425) 523-8878
(425) 523-8868
Mailing address
11419 19TH AVE SE STE C106, EVERETT, WA 98208-5120
(425) 523-8878
(425) 523-8868
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
175F00000X
Naturopath
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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