Individual
SARA J DIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
316 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4252
(253) 403-5200
Mailing address
316 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4252
(253) 403-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10005314
WA
363AM0700X
Medical Physician Assistant
PA10005314
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10005314
WA
Other
Enumeration date
11/01/2007
Last updated
03/16/2011
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