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PHANDINH CLINIC LLC

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Company Details

Legal Name: PHANDINH CLINIC LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 1st 2016
Expiration date: 31 Mar 2026
UBI Number: 603 574 791
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 330 SW 43RD ST #L, RENTON, WA, 98057, UNITED STATES

Contact Details

E-Mail: PHANDINH@YAHOO.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
PHANDINH NGUYEN Registered Agent 21805 15TH AVE S, DES MOINES, WA, 98198-0000, UNITED STATES

Key Officers & Management

Name Role
TUYETHONG BUI Governing Person
PHANDINH NGUYEN Governing Person

National Provider Identifier

NPI Number:
1225497969
Certification Date:
2023-10-19

Authorized Person:

Name:
KIMBERLY KHUU
Role:
ASSISTANT OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

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