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Individual

DR. M. TERESA CLABOTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7424 BRIDGEPORT WAY W, SUITE 307, LAKEWOOD, WA 98499-8120
(253) 588-6574
(253) 588-2688
Mailing address
7424 BRIDGEPORT WAY W, SUITE 307, LAKEWOOD, WA 98499-8120
(253) 588-6574
(253) 588-2688

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD00023527
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017854
WA
Enumeration date
03/29/2006
Last updated
04/11/2013
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