Individual
ALLEN LEE PUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4114 56TH AVE E, PUYALLUP, WA 98371-3663
(253) 922-5644
Mailing address
808 3RD ST NE, PUYALLUP, WA 98372-2908
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
60280365
WA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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