CHASE S IIDA

SEATTLE, WA
NPI1932572914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  IR60449217)
Enumeration Date2015-11-12
Last Update Date2015-11-12
Business Address
-- CHASE S IIDA
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-543-2030
Mailing Address
-- CHASE S IIDA
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-543-2030