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Individual

MEREDITH ANNA RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0982
Mailing address
5622 MOUNT TACOMA DR SW, LAKEWOOD, WA 98499-2811
(206) 330-1876

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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