SALOME ODJA DOCKENDORF

TACOMA, WA
NPI1003467127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP61008318)
Enumeration Date2019-09-20
Last Update Date2019-11-23
Business Address
SALOME ODJA DOCKENDORF
1201 PACIFIC AVE STE 19501201
TACOMA, WA 98402-4301
Phone number: 812-870-6728
Mailing Address
SALOME ODJA DOCKENDORF
5150 NW WHISPER ST
SILVERDALE, WA 98383-8338
Phone number:
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