LUCAS GENE UPHAUS

PUYALLUP, WA
NPI1235996869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  A160887994)
Enumeration Date2024-02-29
Last Update Date2024-02-29
Business Address
LUCAS GENE UPHAUS
1450 5TH ST SE STE 4200
PUYALLUP, WA 98372-4604
Phone number: 253-697-3440
Mailing Address
LUCAS GENE UPHAUS
7815 46TH AVE E
TACOMA, WA 98443-1869
Phone number:
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