BRIANNE DARE HETTEMA

JOINT BASE LEWIS MCCHORD, WA
NPI1255000915
Former NameBRIANNE DARE KERIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  61125934)
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
BRIANNE DARE HETTEMA PA-C
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431-0001
Phone number: 253-968-1110
Mailing Address
BRIANNE DARE HETTEMA PA-C
1662 S 55TH ST
TACOMA, WA 98408-1425
Phone number: 360-981-6047
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