Provider Demographics
NPI:1417244435
Name:TRUONG, EMILY CARSON (DVM)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CARSON
Last Name:TRUONG
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2834 228TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-9574
Mailing Address - Country:US
Mailing Address - Phone:425-392-7387
Mailing Address - Fax:425-392-6568
Practice Address - Street 1:2834 228TH AVE SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-9574
Practice Address - Country:US
Practice Address - Phone:425-392-7387
Practice Address - Fax:425-392-6568
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT 60196965174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian