Xaysanasongkham, Davina
Xaysanasongkham, Davina is an sole proprietor health care provider with primary practice located at 10615 Se 250Th Pl C101, Kent WA 98030-6497. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Xaysanasongkham, Davina can be contacted via phone (206) 423-5776.Contact Information
Primary practice address
10615 Se 250Th Pl C101
Kent WA 98030-6497
Phone: (206) 423-5776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | MA60303913 | Washington |
Profile Details
| NPI number | 1316289374 |
|---|---|
| LBN Legal business name | Xaysanasongkham, Davina |
| Credentials | L.M.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2013 |
| Last updated | Mar 17th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316289374 | NPPES |
| Washington | Other | MA60303913 | MASSAGE LICENSE NUMBER |
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