Individual
ATHENA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-6916
(253) 968-2462
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2462
(253) 968-3874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009117
CA
Other
Enumeration date
06/29/2018
Last updated
11/27/2020
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