Provider Demographics
NPI:1710128194
Name:WONG-CHIN, YANSEE M (MPH, RD, CD)
Entity Type:Individual
Prefix:
First Name:YANSEE
Middle Name:M
Last Name:WONG-CHIN
Suffix:
Gender:F
Credentials:MPH, RD, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N 38TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-1535
Mailing Address - Country:US
Mailing Address - Phone:425-277-7498
Mailing Address - Fax:206-772-9999
Practice Address - Street 1:1400 N 38TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-1535
Practice Address - Country:US
Practice Address - Phone:425-277-7498
Practice Address - Fax:206-772-9999
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00000971133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered