NPI 1639573538

Melody Jin

Practitioner Contractor Bothell, WA

Practice location

Address: 24027 Meridian Ave S, Bothell, WA 98021-8727
Phone: (206) 510-8838

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 752680 (WA)

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Registry record

NPI: 1639573538
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2014
Record last updated: 21 Oct 2014

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.