LELAND THOMAS MONTIERTH

TACOMA, WA
NPI1467911222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: MI  5101025803)
Enumeration Date2019-03-19
Last Update Date2021-05-05
Business Address
LELAND THOMAS MONTIERTH
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0117
Mailing Address
LELAND THOMAS MONTIERTH
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0117
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