Individual
MRS. TERESA A. FORDYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 S CEDAR ST, SUITE 201, TACOMA, WA 98405-2308
(253) 572-3520
(253) 627-9842
Mailing address
1901 S CEDAR ST, SUITE 201, TACOMA, WA 98405-2308
(253) 572-3520
(253) 627-9842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002505
WA
Other
Enumeration date
02/01/2007
Last updated
01/15/2016
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