Individual
TRACIE A SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10324 CANYON RD E, STE 105, PUYALLUP, WA 98373-1013
(253) 537-6000
Mailing address
8717 194TH STREET CT E, SPANAWAY, WA 98387-4202
(253) 224-3285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011708
WA
Other
Enumeration date
01/18/2007
Last updated
01/23/2009
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