SearchWashington106S00000X

Anthony Wallace

NPI 1417635335 · on the registry since 2023 · sole proprietor

Practice

Address
8725 S 212th St Bldg E
Kent, WA 98031
Phone
(425) 658-3017
Clinicians at this address
170

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2023-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington