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TACOMA, WA
NPI1861939886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: NE  1848)
Enumeration Date2017-01-28
Last Update Date2024-01-11
Business Address
TERRA FORWARD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-6104
Mailing Address
TERRA FORWARD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-6104