Dona Rae Grace Freeman LMP

NPI 1134425457 - Specialist - 174400000X

NPI Details
NPI 1134425457
Gender Female
Enumeration Date 02/03/2011
Last Updated 04/27/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
3701 6TH AVE
TACOMA WA, 98406-4950, US
Phone (253) 306-9835
Business Location
4502 N 10TH ST
TACOMA WA, 98406-3604, US
Phone (253) 306-9835
Taxonomy Code 174400000X
License State Washington
License Number MA60204116
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According to our database, Dona Rae Grace Freeman LMP NPI is 1134425457, taxonomy code is 174400000X and license number is MA60204116, license state is located at Washington. Dona Rae Grace Freeman LMP physically located at 3701 6th Ave, Tacoma WA, 98406-4950. NPI Number Dona Rae Grace Freeman LMP has the Individual type.

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1134425457 NPI number is provided on an as is basis without warranty of any kind. 1134425457 is maintained by the National Plan & Provider Enumeration System. The contents of Dona Rae Grace Freeman LMP are for informational purposes only.