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Trae Azareah Groshong, LMP
Specialist in Kent, Washington
NPI 1366879272

Trae Azareah Groshong is a Specialist based in Kent, WA. Trae Azareah Groshong practices in Kent, WA and has the professional credentials of LMP. The NPI Number for Trae Azareah Groshong is 1366879272 and holds a License No. MA60411914 (Washington).

The current practice location address for Trae Azareah Groshong is 417 Ramsay Way, Kent, WA and can be reached out via phone at 253-859-0100 and via fax at 253-373-9600.

Location: 417 Ramsay Way, Kent, WA, 98032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366879272
Provider Name
Trae Azareah Groshong
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
417 Ramsay Way, Kent, WA, 98032
Phone Number
253-859-0100
Fax Number
253-373-9600
Provider Enumeration Date
10/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
417 Ramsay Way
City
Kent
State
Washington
Zip
98032-4502
Phone Number
253-859-0100
Fax Number
253-373-9600
person
Provider Business Mailing Address Details
Address
417 Ramsay Way
City
Kent
State
Washington
Zip
98032-4502
Phone Number
253-859-0100
Fax Number
253-373-9600
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA60411914 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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