Male or Other

Beau F. Chiba

Student in an Organized Health Care Education/Training Program in Bellevue, WA(View on Map)

Full Name

Beau Frederick Mar Chiba

NPI Number

1265856041

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/13/2014

Specialties

(Taxonomies)

Licenses

State

Washington

License Number

CHIBABF107QR

Contact
Information

Purpose

Mailing
Location

Address

6140 156TH PL SE
6140 156TH PL SE

City

Bellevue
Bellevue

State

WA
WA

Postal Code

98006-5308
98006-5308

Country

US
US

Telephone Number

(425) 518-1945
(425) 518-1945

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/13/2014

Provider Address

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