EVERGREEN MEDICAL PANEL

TACOMA, WA
NPI1700074275
Entity TypeOrganization
Authorized ContactJESSY E ANG
Psychiaties
253-576-4171
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: WA  0700013011)
Enumeration Date2007-10-10
Last Update Date2007-10-11
Business Address
EVERGREEN MEDICAL PANEL
2411 S 19TH ST
TACOMA, WA 98405-2954
Phone number: 253-572-4171
Mailing Address
EVERGREEN MEDICAL PANEL
2411 S 19TH ST
TACOMA, WA 98405-2954
Phone number: 253-572-4171