KISHA GAUTAMI THAYAPRAN

TACOMA, WA
NPI1790588457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-28
Last Update Date2025-03-28
Business Address
KISHA GAUTAMI THAYAPRAN MD
1717 S J ST # MS 01-125
TACOMA, WA 98405-4933
Phone number: 253-552-8690
Mailing Address
KISHA GAUTAMI THAYAPRAN MD
1717 S J ST # MS 01-125
TACOMA, WA 98405-4933
Phone number:
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