Individual
MR. DANIEL J MARICLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5318
(253) 968-2252
Mailing address
7138 INLAY ST SE, LACEY, WA 98513-5158
(910) 920-8413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2021
Last updated
12/15/2021
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