JEREMIE FRANC LARAQUE-TWO ELK

TACOMA, WA
NPI1861078750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT61140942)
Enumeration Date2021-03-22
Last Update Date2022-11-09
Business Address
JEREMIE FRANC LARAQUE-TWO ELK PT, DPT, MPH
9040A JACKSON AVE
TACOMA, WA 98431-3060
Phone number: 253-968-1110
Mailing Address
JEREMIE FRANC LARAQUE-TWO ELK PT, DPT, MPH
6434 JEFFREY CT SE
LACEY, WA 98513-6531
Phone number: 720-422-0262
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