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Individual

ANTHONY FLAKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5246
Mailing address
5202 S 12TH ST APT 2L, TACOMA, WA 98465-2673

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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