Individual
HOA TRUONG LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
(206) 616-4001
Mailing address
4321 5TH AVE NE, SEATTLE, WA 98105-6108
(714) 464-9891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90603364E
MEDICAL
CA
Enumeration date
08/26/2021
Last updated
08/26/2021
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