Individual
AMBERLY KRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 355-4585
Mailing address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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