Graduated: 2018
NPI: 1639666118
Practice Locations (2)
PRUDY MEDICAL
6718 144TH ST NW
GIG HARBOR, WA 983328738
2538576166
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.