Individual
MR. JEFF G. BACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5897
Mailing address
1646 S HIGHLAND AVE, TACOMA, WA 98465-2212
(253) 722-4496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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