MARIVIC LUCENA DIEGO

TACOMA, WA
NPI1720737885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT016000)
Enumeration Date2022-03-23
Last Update Date2025-06-10
Business Address
MARIVIC LUCENA DIEGO
11112 PACIFIC AVE S
TACOMA, WA 98444-5749
Phone number: 253-537-1103
Mailing Address
MARIVIC LUCENA DIEGO
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 60515-1211
Phone number:
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