Individual
NOLAN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-9733
(425) 583-9495
Mailing address
3913 JACKSON LAKE RD NW, LAKEBAY, WA 98349-9733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161455970
WA
Other
Enumeration date
05/18/2021
Last updated
08/05/2023
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