Individual
HO CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
252 BROADWAY APT 426, TACOMA, WA 98402-4002
(702) 741-2277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
54389
ID
363LF0000X
Family Nurse Practitioner
Primary
AP60897300
WA
Other
Enumeration date
10/26/2016
Last updated
11/12/2018
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