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Hanson Mouanoutoua
Student in an Organized Health Care Education/Training Program in Renton, Washington
NPI 1417489345

Hanson Mouanoutoua is a Student in an Organized Health Care Education/Training Program based in Renton, WA. Hanson Mouanoutoua practices in Renton, WA. The NPI Number for Hanson Mouanoutoua is 1417489345 and holds a License No. MOUANH158K4 (Washington).

The current practice location address for Hanson Mouanoutoua is 15205 140Th Way Se, Renton, WA and can be reached out via phone at 559-314-5978. You can also correspond with Hanson Mouanoutoua through the mailing address at 15205 140TH WAY SE, RENTON, WA - 98058-7846 (mailing address contact number: 559-314-5978).

Location: 15205 140Th Way Se, Renton, WA, 98058-7846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417489345
Provider Name
Hanson Mouanoutoua
Credential
Provider Entity Type
Individual
Gender
Male
Address
15205 140Th Way Se, Renton, WA, 98058-7846
Phone Number
559-314-5978
Fax Number
Provider Enumeration Date
03/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15205 140Th Way Se
City
Renton
State
Washington
Zip
98058-7846
Phone Number
559-314-5978
Fax Number
person
Provider Business Mailing Address Details
Address
15205 140Th Way Se
City
Renton
State
Washington
Zip
98058-7846
Phone Number
559-314-5978
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MOUANH158K4 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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