Individual
CHASTITY F DEROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 477-3774
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1108101
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
03/09/2021
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