Individual
TYSIONNA DIONNE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5800
Mailing address
7520 176TH STREET CT E, PUYALLUP, WA 98375-3308
(253) 317-3819
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WA
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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