Provider Demographics
NPI:1639459837
Name:VO, MYLINH T (ND)
Entity Type:Individual
Prefix:DR
First Name:MYLINH
Middle Name:T
Last Name:VO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4630 200TH ST SW STE D
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6608
Mailing Address - Country:US
Mailing Address - Phone:425-697-5583
Mailing Address - Fax:425-697-5584
Practice Address - Street 1:4630 200TH ST SW STE D
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6608
Practice Address - Country:US
Practice Address - Phone:425-697-5583
Practice Address - Fax:425-697-5584
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000825175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath