FAZALDIN MOGHUL

TACOMA, WA
NPI1881053577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: WA  OP61169516)
Enumeration Date2016-02-23
Last Update Date2021-09-16
Business Address
FAZALDIN MOGHUL DO
1708 YAKIMA AVE STE 112
TACOMA, WA 98405-5300
Phone number: 253-382-8450
Mailing Address
FAZALDIN MOGHUL DO
1708 YAKIMA AVE STE 112
TACOMA, WA 98405-5300
Phone number: 253-382-8450