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Individual

JAMES CAMERON FLETCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
606 S STATE ST, TACOMA, WA 98405-3036
(253) 906-3663
Mailing address
606 S STATE ST, TACOMA, WA 98405-3036
(253) 906-3663

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1598
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0284206
L&I PROVIDER ACCOUT NUMBER
WA
01
G8903081
MEDICARE PTAN
WA
Enumeration date
05/23/2007
Last updated
10/13/2011
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