Individual
JOSEPH ANTHONY WHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10506 94TH ST SW, TACOMA, WA 98498-1925
(253) 355-7979
Mailing address
10506 94TH ST SW, TACOMA, WA 98498-1925
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61659048
WA
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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