| NPI | 1023449295 |
|---|---|
| Other Name | TYLOR HIEP PHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60235112) |
| Additional Taxonomies | 171R00000X Interpreter (Licence: WA MC11816) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |