person
Andrew Nathan Pettibon, LMP
Specialist in Tacoma, Washington
NPI 1457579385

Andrew Nathan Pettibon is a Specialist based in University Place, WA. Andrew Nathan Pettibon practices in Tacoma, WA and has the professional credentials of LMP. The NPI Number for Andrew Nathan Pettibon is 1457579385 and holds a License No. MA00056514 (Washington).

The current practice location address for Andrew Nathan Pettibon is 4141 6Th Ave, Tacoma, WA and can be reached out via phone at 253-228-0889.

Location: 4141 6Th Ave, Tacoma, WA, 98464-1248
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Provider Profile Details
NPI Number
1457579385
Provider Name
Andrew Nathan Pettibon
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
4141 6Th Ave, Tacoma, WA, 98464-1248
Phone Number
253-228-0889
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4141 6Th Ave
City
State
Zip
98406-4032
Phone Number
253-228-0889
Fax Number
person
Provider Business Mailing Address Details
Address
4141 6Th Ave
City
State
Zip
98406-4032
Phone Number
253-228-0889
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA00056514 (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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