Individual
BETHANY JOY GEHRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1601 N 8TH ST, TACOMA, WA 98403-1013
(253) 359-7268
Mailing address
1601 N 8TH ST, TACOMA, WA 98403-1013
(253) 359-7268
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60590370
WA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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