CLEMENT PHUONG NGUYEN LE THANH

PORT ORCHARD, WA
NPI1386749281
Professional NameCLEMENT THANH LE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: WA  MD00046845)
Enumeration Date2006-09-14
Last Update Date2008-02-20
Business Address
-- CLEMENT PHUONG NGUYEN LE THANH
320 S KITSAP BLVD
PORT ORCHARD, WA 98366
Phone number: 360-876-7215
Mailing Address
-- CLEMENT PHUONG NGUYEN LE THANH
PO BOX 960 400 WARREN AVE STE 300
BREMERTON, WA 98337
Phone number: 360-475-3709
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