ANHTUAN VAN PHAN

TACOMA, WA
NPI1154113538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: WA  61521236)
Enumeration Date2025-05-21
Last Update Date2025-05-21
Business Address
ANHTUAN VAN PHAN LD
7808 PACIFIC AVE STE 6
TACOMA, WA 98408-7039
Phone number: 253-617-5704
Mailing Address
ANHTUAN VAN PHAN LD
9518 MCKINLEY AVE
TACOMA, WA 98445-2168
Phone number: 253-617-5704