Provider Demographics
NPI:1780367490
Name:ZENG, MENGCHUN
Entity type:Individual
Prefix:
First Name:MENGCHUN
Middle Name:
Last Name:ZENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6016 NE BOTHELL WAY STE B
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-9403
Mailing Address - Country:US
Mailing Address - Phone:425-614-9426
Mailing Address - Fax:
Practice Address - Street 1:6016 NE BOTHELL WAY STE B
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-9403
Practice Address - Country:US
Practice Address - Phone:425-614-9426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist