Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 60504206 | WA |
NPI | 1003212820 |
---|---|
Provider Name | Dr. John-Nam Thanh Vo |
First Address | Bellevue, WA 98005-3024 |
Second Address | Bellevue, WA 98005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2014 |
Last Update Date | 08/09/2020 |