MARIA JACOBA MACK

TACOMA, WA
NPI1780619668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WA  MD00021425)
Enumeration Date2006-07-11
Last Update Date2007-07-08
Business Address
-- MARIA JACOBA MACK
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-627-4930
Mailing Address
-- MARIA JACOBA MACK
7514 91ST AVE SW
TACOMA, WA 98498-3941
Phone number:
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