Individual
NIKITA D SCHIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
504 GARFIELD ST S, TACOMA, WA 98444-3628
(253) 531-5917
Mailing address
PO BOX 45195, TACOMA, WA 98448-5195
(253) 531-5917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60662003
WA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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