RUSS PATRICK HENRIET

TACOMA, WA
NPI1124327903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: WA  OP61226671)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: NE  958)
Enumeration Date2011-03-20
Last Update Date2023-05-21
Business Address
Dr. RUSS PATRICK HENRIET DO
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1440
Mailing Address
Dr. RUSS PATRICK HENRIET DO
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1440