THERESA K MARTIN

PUYALLUP, WA
NPI1134176340
Former NameTHERESA K NEFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WA  PA60071585)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: FL  pa9103689)
363A00000X Physician Assistant
(Licence: WA  PA60071585)
363AM0700X Physician Assistant, Medical
(Licence: WA  PA60071585)
Enumeration Date2006-05-31
Last Update Date2012-07-17
Business Address
-- THERESA K MARTIN PA
11212 SUNRISE BLVD E #201
PUYALLUP, WA 98374-8847
Phone number: 253-697-7550
Mailing Address
-- THERESA K MARTIN PA
11212 SUNRISE BLVD E #201
PUYALLUP, WA 98374-8847
Phone number: 253-697-7550