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Individual

BRODY DAVID AZEVEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT

Contact information

Practice address
MAMC 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-1110
Mailing address
MAMC 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary

Other

Enumeration date
02/17/2017
Last updated
02/17/2017
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