Individual
MR. REX VONGPHOUTHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1311 S UNION AVE, STE 102, TACOMA, WA 98405-1959
(253) 759-3555
(253) 759-2988
Mailing address
1311 S UNION AVE, STE 102, TACOMA, WA 98405-1959
(253) 759-3555
(253) 759-2988
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA60655146
WA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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