| NPI | 1053791863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN JIAYONG HUANG Student 425-829-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA IR 60225986) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |