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Individual

EDWIN CUEVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6240 TACOMA MALL BLVD STE 101, TACOMA, WA 98409
(253) 271-9720
(253) 212-3372
Mailing address
6240 TACOMA MALL BLVD STE 101, TACOMA, WA 98409-6819

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60814419
WA

Other

Enumeration date
01/12/2015
Last updated
05/07/2019
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