NICKOLAS JUSTIN WISE

TACOMA, WA
NPI1831735802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-11-25
Last Update Date2019-11-25
Business Address
NICKOLAS JUSTIN WISE
1159 MARKET ST
TACOMA, WA 98402
Phone number: 253-552-5786
Mailing Address
NICKOLAS JUSTIN WISE
1159 MARKET ST
TACOMA, WA 98402
Phone number: 253-552-5786
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