Individual
SHERYL J BOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1420
Mailing address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1420
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
A61747
CA
2080P0216X
Pediatric Rheumatology Physician
MD2014-0891
NM
2080P0216X
Pediatric Rheumatology Physician
Primary
MD60628779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A617470
—
CA
Enumeration date
10/13/2006
Last updated
05/06/2016
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