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Individual

ADITYA MAMTORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926
(408) 218-9965
Mailing address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/08/2026
Last updated
05/08/2026
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