NPI 1447034541

Melina Licong Chua

Practitioner Nursing Home Administrator Lynnwood, WA

Practice location

Address: 6005 183rd St SW, Lynnwood, WA 98037-7228
Phone: (206) 832-6988
Fax: (425) 967-5181
Mailing address: 16529 8th Ave NE, Shoreline, WA 98155-5011

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence 753429 (WA)

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Registry record

NPI: 1447034541
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2023
Record last updated: 21 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.