Individual
MS. FHENIX AAIRON STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5800
Mailing address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61115733
WA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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