KAI DACOSTA

TACOMA, WA
NPI1578711016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: ME  2155)
Enumeration Date2008-09-08
Last Update Date2016-02-17
Business Address
-- KAI DACOSTA DO
9040 FITZSIMMONS DR
TACOMA, WA 98431-1000
Phone number: 253-968-1330
Mailing Address
-- KAI DACOSTA DO
PO BOX 351
PERRY, ME 04667-0351
Phone number: 207-853-0644