363LA2100X
Tacoma, WA
Specialty
363LA2100X
Credential
AGACNP-BC
NPI
1134959307
209 Martin Luther King Jr Way, Tacoma, WA 98405
(253) 403-3378Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X