Individual
ALPHONCE MORANGO BONIPHACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5031 S ORCHARD ST APT B, TACOMA, WA 98467-3667
(240) 615-3791
Mailing address
5031 S ORCHARD ST APT B, TACOMA, WA 98467-3667
(240) 615-3791
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
NC61503287
WA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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