HEUNG IN

SHELTON, WA
NPI1215389515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP61014956)
Enumeration Date2016-07-11
Last Update Date2021-02-04
Business Address
HEUNG IN
1701 N 13TH ST
SHELTON, WA 98584-2077
Phone number: 360-426-2653
Mailing Address
HEUNG IN
PO BOX 1668
SHELTON, WA 98584-5001
Phone number: 360-426-2653
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