NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1376543884 | ELLIS | STACI | GAYE |   | 3209 S 23RD ST | TACOMA | WA | 984051602 |
1952341729 | PREWITT | CRAIG | ARTHUR |   | 3209 S 23RD ST | TACOMA | WA | 984051602 |
1063610616 | RICKENBACHER-TRUNK | CONSTANCE | MARY |   | 3209 S 23RD ST STE 100 | TACOMA | WA | 984051602 |