Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DN60404578 | WA |
NPI | 1407271935 |
---|---|
Provider Name | Ms. Hoa Lien Trinh |
First Address | Sequim, WA 98382 |
Second Address | Sequim, WA 98382 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2014 |
Last Update Date | 17/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2059948 | (05) | WA |