Individual
TEJA JENAE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9505 S STEELE ST, TACOMA, WA 98444-1858
(253) 597-6800
Mailing address
1410 NE CAMPUS PKWY, SEATTLE, WA 98195-0003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61576286
WA
Other
Enumeration date
06/13/2024
Last updated
02/10/2025
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