Individual
MRS. THERESA MARIE HOPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PERSONAL CARE ASSIST
Contact information
Practice address
5335 N. RUBY ST., TACOMA, WA 98407
(253) 759-0728
Mailing address
5018 N. 39TH ST, TACOMA, WA 98407
(253) 232-0986
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
12/10/2019
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