SAMUEL BALLESTEROS ECHAURE

TACOMA, WA
NPI1164520920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: CA  A44205)
Enumeration Date2006-09-20
Last Update Date2019-02-20
Business Address
SAMUEL BALLESTEROS ECHAURE M.D.
9040 JACKSON AVE JOINT BASE LEWIS MCCHORD
TACOMA, WA 98431-8273
Phone number: 253-968-5480
Mailing Address
SAMUEL BALLESTEROS ECHAURE M.D.
3447 JUNO ST NE
LACEY, WA 98516-4503
Phone number: 951-237-9204
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