ELIYA PHAN

SEDRO WOOLLEY, WA
NPI1023782125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-03
Last Update Date2021-08-03
Business Address
ELIYA PHAN
1960 THOMPSON DR
SEDRO WOOLLEY, WA 98284-5007
Phone number: 206-768-1990
Mailing Address
ELIYA PHAN
1960 THOMPSON DR
SEDRO WOOLLEY, WA 98284-5007
Phone number: 206-768-1990
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