Davina Xaysanasongkham, L.M.P.

NPI #1316289374 in Kent, Washington

Provider Information

NPI Number: 1316289374
Entity Type: Individual
Name: Davina Xaysanasongkham, L.M.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Naturopath
Credential: L.M.P.
Enumeration Date: Mar 17, 2013
Last Updated: Mar 17, 2013

Practice Location

Address: 10615 SE 250TH PL
Address 2: C101
City: Kent
State: Washington
ZIP Code: 98030-6497
Phone: (206) 423-5776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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