Individual
GRAHAM PATRICK DALE PENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5800
Mailing address
14621 136TH AVE E, PUYALLUP, WA 98374-9463
(253) 904-7725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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