Cheng Im Shao Chue Gomez Pllc
NPI #1932558780 in Maple Valley, Washington
Provider Information
- NPI Number
- 1932558780
- Entity Type
- Organization
- Organization Name
- Cheng Im Shao Chue Gomez Pllc
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 11, 2016
- Last Updated
- Jun 11, 2016
Practice Location
- Address
- 22035 SE WAX RD
- Address 2
- STE 5
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-8543
- Phone
- (425) 432-4131
Authorized Official
- Name
- MRS. TANYA GALIANT
- Title
- MANAGER
- Phone
- (425) 432-4131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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