Individual
NATASHA N ALCISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4267
(253) 596-3300
(253) 596-3301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8863
AZ
363A00000X
Physician Assistant
Primary
PA61435268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8863
ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS
AZ
Enumeration date
03/05/2021
Last updated
09/06/2023
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