Individual
ANDREA SULUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA 60663287
Contact information
Practice address
3837 PACIFIC AVE, TACOMA, WA 98418-7829
(253) 576-3303
Mailing address
3837 PACIFIC AVE, TACOMA, WA 98418-7829
(253) 576-3303
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60663287
WA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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