Search › Washington › 174400000X
Dustin Iacobazzi Riecan, LMP
NPI 1528371887 · on the registry since 2010
Practice
- Address
- 8514 49th St W
University Place, WA 98467 - Phone
- (253) 380-0434
- Organisation at this address
- Bluestone Wellness Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-22
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