Individual
SUZANNE AMALIE INGRAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 597-4626
Mailing address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 597-4626
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00049333
WA
Other
Enumeration date
10/02/2007
Last updated
03/22/2011
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