person
Kai Dacosta, DO
General Practice Physician in Tacoma, Washington
NPI 1578711016

Kai Dacosta is a General Practice Physician based in Perry, WA. Kai Dacosta practices in Tacoma, WA and has the professional credentials of DO. The NPI Number for Kai Dacosta is 1578711016 and holds a License No. 2155 (Washington).

The current practice location address for Kai Dacosta is 9040 Fitzsimmons Dr, Tacoma, WA and can be reached out via phone at 253-968-1330.

Location: 9040 Fitzsimmons Dr, Tacoma, WA, 04667-0351
person
Provider Profile Details
NPI Number
1578711016
Provider Name
Kai Dacosta
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
9040 Fitzsimmons Dr, Tacoma, WA, 04667-0351
Phone Number
253-968-1330
Fax Number
Provider Enumeration Date
09/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9040 Fitzsimmons Dr
City
State
Zip
98431-1000
Phone Number
253-968-1330
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Fitzsimmons Dr
City
State
Zip
98431-1000
Phone Number
253-968-1330
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
2155 (Maine)
Definition
Definition to come...
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