Individual
VEACESLAV GLIJIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1624 S I ST, TACOMA, WA 98405-5016
(253) 428-8700
Mailing address
1624 S I ST STE 305, TACOMA, WA 98405-5093
(253) 428-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61362994
WA
Other
Enumeration date
03/15/2022
Last updated
05/09/2024
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