RANDAL CURTIS CUPP

TACOMA, WA
NPI1205024866
Other NameRANDAI CURTIS CUPP
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10003464)
Enumeration Date2007-10-09
Last Update Date2021-12-15
Business Address
RANDAL CURTIS CUPP PA-C
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-6341
Mailing Address
RANDAL CURTIS CUPP PA-C
203 S. WESTERN AVE C/O: CREDENTIALING
TONASKET, WA 98855
Phone number: 509-486-3144