KHANH BAO HOANG

LACEY, WA
NPI1316930985
Other NameCONNIE BAO HOANG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: WA  PO 00000794)
Enumeration Date2005-08-29
Last Update Date2012-05-01
Business Address
DR. KHANH BAO HOANG DPM
3901 NORTHRIDGE PL SE
LACEY, WA 98503-7187
Phone number: 360-402-1015
Mailing Address
DR. KHANH BAO HOANG DPM
3901 NORTHRIDGE PL SE
LACEY, WA 98503-7187
Phone number: 360-402-1015