Individual
DR. FERNANDO FRANCISCO DEGUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3716 PACIFIC AVE, SUITE D, TACOMA, WA 98418-7836
(253) 474-7719
Mailing address
1300 SW CAMPUS DR, #5-7, FEDERAL WAY, WA 98023-5363
(253) 988-3332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00021562
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117191
—
WA
Enumeration date
02/02/2007
Last updated
07/09/2007
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