Individual
AKPEVWOGHENE STEPHANIE ONEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-3004
(253) 968-2252
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61168689
WA
208M00000X
Hospitalist Physician
Primary
A196361
CA
208M00000X
Hospitalist Physician
MD61168689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210348
—
WA
Enumeration date
03/27/2017
Last updated
12/13/2024
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