RUSTY SHANE LISTER

TACOMA, WA
NPI1902421506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2020-06-10
Last Update Date2020-06-10
Business Address
RUSTY SHANE LISTER
1305 TACOMA AVE S STE 305
TACOMA, WA 98402-1903
Phone number: 479-352-0128
Mailing Address
RUSTY SHANE LISTER
1305 TACOMA AVE S STE 305
TACOMA, WA 98402-1903
Phone number: 253-396-5827