ALEXANDER DE LA RIVA FUENTES

TACOMA, WA
NPI1104680032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: VA  101287220)
Enumeration Date2024-02-12
Last Update Date2025-09-24
Business Address
ALEXANDER DE LA RIVA FUENTES
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3066
Mailing Address
ALEXANDER DE LA RIVA FUENTES
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3066
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