SearchWashington106H00000X

Wren St. Gray, MA

NPI 1598220626 · on the registry since 2019 · sole proprietor

Practice

Address
1415 N Oakes St
Tacoma, WA 98406
Phone
(805) 506-9683

Additional practice sites

  • 3880 S Bascom Ave, San Jose, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
106H00000X
Licence states on file
WA, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-19

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