Individual
FIORELLA PENDOLA BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 779-8364
Mailing address
970 BIG TREE DR NW, ISSAQUAH, WA 98027-5612
(954) 684-5027
(253) 779-8364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60943975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145184
—
WA
Enumeration date
04/11/2016
Last updated
09/23/2022
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