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Individual

ANNA CHACKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
316 MLK JR WAY, SUITE 212, TACOMA, WA 98405
(253) 383-5777
(253) 383-7136
Mailing address
316 MLK JR WAY, SUITE 212, TACOMA, WA 98405
(253) 383-5777
(253) 383-7136

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60299184
WA

Other

Enumeration date
04/02/2009
Last updated
12/14/2012
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