TAMA JORDAN HOLLAR

TACOMA, WA
NPI1932130226
Former NameTAMA D FULTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP60311608)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-066746)
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP2698912)
Enumeration Date2006-07-05
Last Update Date2017-01-05
Business Address
-- TAMA JORDAN HOLLAR CRNA
3209 S 23RD ST STE 340
TACOMA, WA 98405-1602
Phone number: 253-272-5127
Mailing Address
-- TAMA JORDAN HOLLAR CRNA
10919 64TH AVE NW
GIG HARBOR, WA 98332-8522
Phone number: 253-858-7129