Individual
DIANNA MARIE CREELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
426 E 83RD ST, TACOMA, WA 98404-1027
(253) 202-4656
Mailing address
426 E 83RD ST, TACOMA, WA 98404-1027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015824
WA
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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