Individual
DR. NOUANSY KHOWONG WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSON, TACOMA, WA 98431-1101
(253) 968-0208
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-0208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50523-20
WI
Other
Enumeration date
03/11/2008
Last updated
03/19/2019
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