Frances Rose Southall, LMP

NPI #1104079615 in Tacoma, Washington

Provider Information

NPI Number: 1104079615
Entity Type: Individual
Name: Frances Rose Southall, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Oct 28, 2008
Last Updated: Oct 28, 2008

Practice Location

Address: 6240 TACOMA MALL BLVD
Address 2: SUITE 104
City: Tacoma
State: Washington
ZIP Code: 98409-6819
Phone: (253) 474-3569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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