Individual
CHARM BUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 112TH ST S, TACOMA, WA 98444-2556
(253) 468-5259
(253) 267-1025
Mailing address
1512 112TH ST S, TACOMA, WA 98444-2556
(253) 468-5259
(253) 267-1025
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
673900
WA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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