SHELBY JAYE KOCH

TACOMA, WA
NPI1669225363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  ML61550008)
Enumeration Date2024-04-10
Last Update Date2024-04-10
Business Address
SHELBY JAYE KOCH
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
Mailing Address
SHELBY JAYE KOCH
215 H ST NE
EPHRATA, WA 98823-1731
Phone number: 509-398-6979