Individual
NOAH FITZGERALD THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 NW LELAND ST, PULLMAN, WA 99163-3769
(360) 508-3172
Mailing address
1515 NW LELAND ST, PULLMAN, WA 99163-3769
(360) 508-3172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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