Individual
ASHANTI ALEXANDER JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
MADIGAN ARMY MEDICAL CENTER MCHJ-CLQ-C, TACOMA, WA 98431-1110
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
60522553
WA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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