Individual
ANGELA JANE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA00015395
Contact information
Practice address
913 N FRACE ST, TACOMA, WA 98406-2121
(253) 225-9993
Mailing address
913 N FRACE ST, TACOMA, WA 98406-2121
(253) 225-9993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015395
WA
Other
Enumeration date
11/06/2015
Last updated
12/21/2021
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