Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD00044641 | WA |
NPI | 1194723346 |
---|---|
Provider Name | Virginia S. Huang |
First Address | Longview, WA 98632-7375 |
Second Address | Longview, WA 98632-2310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8419673 | (05) | WA |
E58419 | (02) | WA |