Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | PS 60726392 | WA |
NPI | 1376084608 |
---|---|
Provider Name | Christina Minh |
First Address | Seattle, WA 98122-5577 |
Second Address | Seattle, WA 98122-5577 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2017 |
Last Update Date | 20/03/2017 |