Organization
A WOMANS PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILONA MAY LORD LMP (MEMBER)
(253) 476-3154
Entity
Organization
Contact information
Practice address
5018 S STEELE ST, TACOMA, WA 98409-7134
(253) 476-3154
Mailing address
5018 S STEELE ST, TACOMA, WA 98409-7134
(253) 476-3154
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
603004801
WA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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