P.c. Jail Clinic
NPI #1699828103 in Tacoma, Washington
Provider Information
- NPI Number
- 1699828103
- Entity Type
- Organization
- Organization Name
- P.c. Jail Clinic
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 910 TACOMA AVE S
- City
- Tacoma
- State
- Washington
- ZIP Code
- 98402-2104
- Phone
- (253) 798-4033
Authorized Official
- Name
- DR. MIGUEL BALDERRAMA, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (253) 798-4033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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