Individual
JOSIAH MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 503-3666
Mailing address
PO BOX 39680, LAKEWOOD, WA 98496-3680
(253) 304-7753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
N161353408
WA
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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