Individual
CALEB M BERTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 396-5823
Mailing address
623 N STEELE ST, TACOMA, WA 98406-7711
(720) 280-0231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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