Individual
THOMAS WADE HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 FAWCETT AVE, TACOMA, WA 98402-5612
(253) 593-2413
Mailing address
945 FAWCETT AVE, TACOMA, WA 98402-5612
(253) 593-2413
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00037982
WA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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