Individual
MICHAEL JESS AQUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 N WHITMAN ST, TACOMA, WA 98407-1547
(253) 759-3065
(253) 759-3075
Mailing address
3333 N WHITMAN ST, TACOMA, WA 98407-1547
(253) 759-3065
(253) 759-3075
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
ST00003623
WA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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