Individual
MADELEINE PRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19654
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2015
Last updated
06/21/2021
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