Organization
FAMILY FOOT HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY S GRACE DPM (PRESIDENT OF CORPORATION)
(253) 841-4262
Entity
Organization
Contact information
Practice address
11212 SUNRISE BLVD E, # 203, PUYALLUP, WA 98374-8847
(253) 841-4262
(253) 841-7112
Mailing address
11212 SUNRISE BLVD E, # 203, PUYALLUP, WA 98374-8847
(253) 841-4262
(253) 841-7112
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 00000441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59623
L&I GRP
WA
Enumeration date
11/06/2007
Last updated
05/20/2011
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