Graduated: 2022
NPI: 1063941334
Practice Locations (3)
8903 KEY PENINSULA HWY NW, OFC 2
LAKEBAY, WA 983499326
2327 COURT G APT, SUITE 222
Tacoma, WA 984054346
2327 COURT G, APT 222
TACOMA, WA 984054346
2532904502
Source: CMS National Downloadable File, September 2026.