Ila Cheree Moffitt M.D.

NPI 1174799019 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1174799019
Gender Female
Enumeration Date 04/30/2008
Last Updated 04/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
FITZSIMMONS DR
BLD 9040
TACOMA WA, 98431-0001, US
Phone (253) 968-3066
Fax
Business Location
2696 ARNOLD ST
DUPONT WA, 98327-8716, US
Phone (253) 507-8583
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Ila Cheree Moffitt M.D. NPI is 1174799019, taxonomy code is 390200000X Ila Cheree Moffitt M.D. physically located at Fitzsimmons Dr, Tacoma WA, 98431-0001. NPI Number Ila Cheree Moffitt M.D. has the Individual type.

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1174799019 NPI number is provided on an as is basis without warranty of any kind. 1174799019 is maintained by the National Plan & Provider Enumeration System. The contents of Ila Cheree Moffitt M.D. are for informational purposes only.