Individual
BRIANNE DARE HETTEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Mailing address
1662 S 55TH ST, TACOMA, WA 98408-1425
(360) 981-6047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61125934
WA
Other
Enumeration date
09/07/2021
Last updated
02/26/2026
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