Individual
JAMES ROBERT CORLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1623 E J ST, TACOMA, WA 98421-1602
(253) 779-7049
Mailing address
1623 E J ST, TACOMA, WA 98421-1602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60341517
WA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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