Organization
ALPHA ADVANTAGE
Active
Other names
MarWilson
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERETHA MARBURY (CEO)
(253) 284-3255
Entity
Organization
Contact information
Practice address
1119 PACIFIC AVE FL 5, TACOMA, WA 98402-4374
(253) 284-3262
(253) 627-8783
Mailing address
1119 PACIFIC AVE FL 5, TACOMA, WA 98402-4374
(253) 284-3262
(253) 627-8783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
WA
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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