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1063754315

NPI Code Detail

MEDICARE: VANESSA PINEROS TOLBERT MD

MEDICARE: VANESSA PINEROS TOLBERT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ML60369070	WA
2	2080P0207X	Pediatric Hematology & Oncology Physician	142179	CA
3	2080P0207X	Pediatric Hematology & Oncology Physician	MD.60953479	WA

General Provider Information

NPI Number	:	1063754315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA PINEROS TOLBERT MD

Provider Business Mailing Address
First Line	:	311 S L ST
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-4289
Country	:	US
Telephone Number	:	253-403-3481
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 S L ST
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-4289
Country	:	US
Telephone Number	:	253-403-3481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	03/11/2021

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Directions to “ VANESSA PINEROS TOLBERT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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