Individual
CHERYL L TAN-JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-7156
Mailing address
PO BOX 5299, TACOMA, WA 98415-0299
(253) 372-7155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00026388
WA
Other
Enumeration date
07/20/2006
Last updated
09/10/2010
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