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Doctors / WA
UNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Graduated: 2025
NPI: 1376484022
5015 FAIRWOOD BLVD NE APT, SUITE 42
Tacoma, WA 984222110
5015 FAIRWOOD BLVD NE, APT 42
TACOMA, WA 984222110
Source: CMS National Downloadable File, September 2026.