| NPI Details | |
|---|---|
| NPI | 1639299878 |
| Gender | Male |
| Enumeration Date | 03/30/2007 |
| Last Updated | 10/17/2014 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 205 CLARK PL SE TUMWATER WA, 98501-4062, US |
|
| Phone | (360) 570-0401 |
| Fax | |
| Business Location | |
|---|---|
| 205 CLARK PL SE TUMWATER WA, 98501-4062, US |
|
| Phone | (360) 786-1120 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 171100000X |
| License State | Washington |
| License Number | AC2147 |
| Remove 1639299878 NPI Number | |
According to our database, Fred Klemmer EAMP, LAC NPI is 1639299878, taxonomy code is 171100000X and license number is AC2147, license state is located at Washington. Fred Klemmer EAMP, LAC physically located at 205 Clark Pl Se, Tumwater WA, 98501-4062. NPI Number Fred Klemmer EAMP, LAC has the Individual type.
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1639299878 NPI number is provided on an as is basis without warranty of any kind. 1639299878 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Klemmer EAMP, LAC are for informational purposes only.
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