Organization
RONAELE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRISON ADELE ROSS III (OWNER/LIAISON)
(253) 223-0851
Entity
Organization
Contact information
Practice address
8632 S ASOTIN ST, TACOMA, WA 98444-3174
(253) 223-0851
Mailing address
PO BOX 111073, TACOMA, WA 98411-1073
(253) 223-0851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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