Individual
TENNESSEN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
Mailing address
1608 S J ST FL 5, TACOMA, WA 98405-4930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61562347
WA
Other
Enumeration date
05/01/2024
Last updated
09/18/2024
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