MARK ANTHONY FORTES BAAS

PUYALLUP, WA
NPI1457157133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2471C3402X Radiologic Technologist, Radiography
(Licence: WA  RT61618487)
Enumeration Date2025-02-22
Last Update Date2025-02-22
Business Address
Mr. MARK ANTHONY FORTES BAAS CDRT(WA-CERT)
1519 3RD ST SE STE 102
PUYALLUP, WA 98372-3742
Phone number: 253-841-0705
Mailing Address
Mr. MARK ANTHONY FORTES BAAS CDRT(WA-CERT)
16302 66TH AVE E
PUYALLUP, WA 98375-9025
Phone number: 253-355-9486
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