MR. Charles Edward Simons

NPI #1225635436 in Tacoma, Washington

Provider Information

NPI Number: 1225635436
Entity Type: Individual
Name: MR. Charles Edward Simons
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center
Enumeration Date: Oct 1, 2020
Last Updated: Oct 1, 2020

Practice Location

Address: 711 S 25TH ST
City: Tacoma
State: Washington
ZIP Code: 98405-4306
Phone: (253) 536-2881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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