363LW0102X
Tacoma, WA
Specialty
363LW0102X
Credential
ARNP, WHNP-BC
NPI
1578275962
209 Martin Luther King Jr Way, Tacoma, WA 98405
(253) 403-3378Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363lw0102x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LW0102X