Individual
BRENDA F KODAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1703 S MERIDIAN, STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514
Mailing address
1703 S MERIDIAN, STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00030793
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8147688
—
WA
Enumeration date
08/04/2006
Last updated
01/19/2011
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