Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DE 60507164 | WA |
NPI | 1194121038 |
---|---|
Provider Name | Dr. Jenovie Ming-Shing Hsia |
First Address | Seattle, WA 98101-1965 |
Second Address | Shoreline, WA 98133-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2014 |
Last Update Date | 04/11/2014 |