Individual
JODI SACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405
(253) 403-1400
Mailing address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06972
TX
Other
Enumeration date
12/07/2010
Last updated
06/29/2019
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