Individual
MS. COLLEEN G MAWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9505 S STEELE ST, TACOMA, WA 98444-1858
(253) 597-6800
Mailing address
9505 S STEELE ST, TACOMA, WA 98444-1858
(253) 597-6800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60310473
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107944
NCCPA
—
Enumeration date
11/06/2012
Last updated
04/27/2021
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