Individual
MR. BRYAN R DAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14016 A ST S, TACOMA, WA 98444-4662
(253) 302-3675
Mailing address
20910 74TH AVENUE CT E # CTE, SPANAWAY, WA 98387-5260
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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