Individual
TRINA BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5522 E COLLINS RD, PORT ORCHARD, WA 98366-8330
(360) 271-4123
Mailing address
5522 E COLLINS RD, PORT ORCHARD, WA 98366-8330
(360) 271-4123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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