| NPI | 1154187144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANH DUC PHAM Owner 425-459-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |