SearchWashington183500000X

Alvin Ave

NPI 1952441818 · on the registry since 2007 · sole proprietor

Practice

Address
2111 S 90th St
Tacoma, WA 98444
Phone
(253) 535-5615
Organisation at this address
Franciscan Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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