Individual
MAX PONO CASTANERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4238
(253) 792-6680
(253) 403-2915
Mailing address
521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4238
(253) 792-6680
(253) 403-2915
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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