Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | CH00034554 | WA |
NPI | 1417113671 |
---|---|
Provider Name | Duk K Han |
First Address | Bellevue, WA 98006-6105 |
Second Address | Bellevue, WA 98006-6105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 06/08/2008 |