I PAN

KENT, WA
NPI1922565795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP60940426)
Enumeration Date2019-02-27
Last Update Date2020-05-08
Business Address
Ms. I PAN APRN
24920 104TH AVE SE
KENT, WA 98030-6443
Phone number: 425-690-3544
Mailing Address
Ms. I PAN APRN
3600 LIND AVE SW SUITE 100 ATTN CREDENTIALING
RENTON, WA 98057-4970
Phone number: 425-690-2715
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