Carrie Fang, L.A.
Neuromusculoskeletal Medicine, Sports Medicine in Enumclaw, WA. Individual provider (NPI-1).
NPI number1467598144
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1467598144
- Entity type
- Individual (NPI-1)
- Name
- Carrie Fang
- Credential
- L.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | AC00000097 | WA | Yes |
Practice location
1737 Wells StEnumclaw, WA 98022-3518
Phone 360-825-7549 · Fax 360-825-4645
Mailing address
1737 Wells StEnumclaw, WA 98022-3518
Phone 360-825-7549 · Fax 360-825-4645
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