Individual
MARK RANIER DALISAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7520 S I ST, TACOMA, WA 98408-4323
(702) 305-1889
Mailing address
7520 S I ST, TACOMA, WA 98408-4323
(702) 305-1889
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
535134
WA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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