Individual
MRS. JOANN MARY RODERIQUES - LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6004 WESTGATE BLVD STE 220, TACOMA, WA 98406-2503
(253) 229-9196
Mailing address
6004 WESTGATE BLVD STE 220, TACOMA, WA 98406-2503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1600392663
WA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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