Trista Phelps is a Military Health Care Provider based in Tacoma, WA. Trista Phelps practices in Tacoma, WA. The NPI Number for Trista Phelps is 1205534112 and holds a License No. (Washington).
The current practice location address for Trista Phelps is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-2462.
Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001
Provider Profile Details
NPI Number
1205534112
Provider Name
Trista Phelps
Credential
Provider Entity Type
Individual
Gender
Female
Address
9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-2462
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-2462
Fax Number
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-2462
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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