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Individual

DR. OLMEDO ALEXANDER ROLDAN TESORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 274-7991
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 274-7991

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00043243
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0236637
STATE L&I
WA
05
1016611
WA
Enumeration date
11/02/2005
Last updated
01/18/2021
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