Individual
JASON NICHOLAS TOOTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
221 W RAILROAD AVE, SUITE L, SHELTON, WA 98584-3507
(253) 389-7656
Mailing address
918 ELLINOR AVE, SUITE L, SHELTON, WA 98584-3219
(253) 389-7656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60422625
WA
Other
Enumeration date
02/24/2015
Last updated
04/26/2016
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