Individual
ALEXANDRA GRACE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5043 N VISSCHER ST, TACOMA, WA 98407-2112
(253) 948-6236
Mailing address
5043 N VISSCHER ST, TACOMA, WA 98407-2112
(253) 948-6236
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
ES60980014
WA
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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