Individual
MS. ANTHENA SALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1412 S 9TH ST, TACOMA, WA 98405-3619
(206) 330-9234
Mailing address
1412 S 9TH ST, TACOMA, WA 98405-3619
(206) 330-9234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023627
WA
Other
Enumeration date
07/10/2007
Last updated
09/19/2013
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