Individual
MR. CHARLES EDWARD SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 S 25TH ST, TACOMA, WA 98405-4306
(253) 536-2881
Mailing address
711 S 25TH ST, TACOMA, WA 98405-4306
(253) 536-2881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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