Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD60546766 | WA |
NPI | 1134495617 |
---|---|
Provider Name | Hsin-Hsuan Juo |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98105-6008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 31/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134495617 | (05) | WA |