Individual
JON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-2252
Mailing address
9906 100TH ST SW, LAKEWOOD, WA 98498-3106
(253) 968-2238
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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