MARIO NATALE PONTICELLO

TACOMA, WA
NPI1134395734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: WI  950-25)
Enumeration Date2008-05-03
Last Update Date2024-01-05
Business Address
MARIO NATALE PONTICELLO DPM
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3505
Mailing Address
MARIO NATALE PONTICELLO DPM
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3505
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