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Individual

ANNAGRETA BOWEN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-8327
Mailing address
PO BOX 5215, TACOMA, WA 98415-0215

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60741567
WA
390200000X
Student in an Organized Health Care Education/Training Program
R14-2014
NM

Other

Enumeration date
03/30/2014
Last updated
03/17/2018
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