Individual
MR. MAURI FREDERICK FROMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
900 S 336TH ST, FEDERAL WAY, WA 98003-6311
(253) 942-3303
(253) 815-8805
Mailing address
900 S 336TH ST, FEDERAL WAY, WA 98003-6311
(253) 942-3303
(253) 815-8805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00006298
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051261
L&I
WA
01
—
FR2308
REGENCE
WA
Enumeration date
01/09/2007
Last updated
07/08/2007
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