Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD61196887 | WA |
NPI | 1205195435 |
---|---|
Provider Name | Jing Li Huang |
First Address | Atlanta, GA 30368-7287 |
Second Address | Spokane Valley, WA 99216-2759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2012 |
Last Update Date | 30/09/2021 |