Individual
RANDALL MCZEGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17812 35TH AVE E, TACOMA, WA 98446-1202
(253) 324-4732
Mailing address
17812 35TH AVE E, TACOMA, WA 98446-1202
(253) 324-4732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00048161
WA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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