Individual
DR. JOLIE GUEVARA KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1624 S I ST STE 405, TACOMA, WA 98405-5094
(253) 274-4545
(253) 274-4599
Mailing address
1624 S I ST STE 405, TACOMA, WA 98405-5094
(253) 274-4545
(253) 274-4599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61018591
WA
207RI0200X
Infectious Disease Physician
Primary
MD61018591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2163044
—
WA
Enumeration date
06/04/2015
Last updated
05/09/2023
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