Organization
SOUTH SOUND MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL M PELUSO (PRESIDENT)
(253) 474-7336
Entity
Organization
Contact information
Practice address
820 6TH AVE, SUITE B, TACOMA, WA 98405-5210
(253) 474-7336
Mailing address
11012 CANYON RD E, STE #8 PMB 779, PUYALLUP, WA 98373-4200
(253) 474-7336
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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