Individual
TONYA SUE GERVACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8012 150TH ST E, PUYALLUP, WA 98375-8437
(253) 232-5952
Mailing address
8012 150TH ST E, PUYALLUP, WA 98375-8437
(253) 232-5952
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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