Individual
JESUS DANIEL CAZARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 6TH AVE STE 200, TACOMA, WA 98405-4048
(253) 272-8664
(253) 627-7880
Mailing address
1112 6TH AVE STE 200, TACOMA, WA 98405-4048
(253) 272-8664
(253) 627-7880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61111334
WA
363AS0400X
Surgical Physician Assistant
PA61111334
WA
Other
Enumeration date
07/25/2019
Last updated
02/10/2021
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