NICOLE FANG PO

BELLEVUE, WA
NPI1750101358
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61592676)
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
NICOLE FANG PO PA
1600 116TH AVE NE STE 204
BELLEVUE, WA 98004-3056
Phone number: 206-395-4422
Mailing Address
NICOLE FANG PO PA
1600 116TH AVE NE STE 204
BELLEVUE, WA 98004-3056
Phone number: 206-395-4422