KRISTOFFER ALLEN TACUB VALENZUELA

BREMERTON, WA
NPI1659712842
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD60631103)
Enumeration Date2013-07-16
Last Update Date2021-03-23
Business Address
KRISTOFFER ALLEN TACUB VALENZUELA MD
2508 WHEATON WAY
BREMERTON, WA 98310-3303
Phone number: 360-377-3776
Mailing Address
KRISTOFFER ALLEN TACUB VALENZUELA MD
PO BOX 960
BREMERTON, WA 98337-0212
Phone number: 360-478-2366