Jonathan Alan Wan D.C

NPI 1639329188 - Chiropractor - 111N00000X

NPI Details
NPI 1639329188
Gender Male
Enumeration Date 09/22/2008
Last Updated 09/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
662 STRANDER BLVD
TUKWILA WA, 98188-2923, US
Phone (425) 204-1575
Fax
Business Location
458 MONROE AVE NE
UNIT 307
RENTON WA, 98056-8400, US
Phone (206) 724-4557
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Washington
License Number 00034878
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According to our database, Dr. Jonathan Alan Wan D.C NPI is 1639329188, taxonomy code is 111N00000X and license number is 00034878, license state is located at Washington. Jonathan Alan Wan D.C physically located at 662 Strander Blvd, Tukwila WA, 98188-2923. NPI Number Jonathan Alan Wan D.C has the Individual type.

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1639329188 NPI number is provided on an as is basis without warranty of any kind. 1639329188 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Alan Wan D.C are for informational purposes only.