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Somenan Ngoc Thach

Student in an Organized Health Care Education/Training Program in Seattle, WA. Individual provider (NPI-1).

NPI number1346691920
StatusActive
Last updated in NPPESNov 16, 2016

Details

NPI
1346691920
Entity type
Individual (NPI-1)
Name
Somenan Ngoc Thach
Sex
Male
Sole proprietor
No
Enumeration date
Jun 25, 2016
Last updated
Nov 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramIR60598678WAYes

Practice location

1959 Ne Pacific Street H362 Health
Sciences Building, Box 357631
Seattle, WA 98195-6650

Phone 206-543-6788

Mailing address

1959 Ne Pacific Street H362 Health
Sciences Building, Box 357631
Seattle, WA 98195-6650

Phone 562-822-7489

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