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NPI Code Detail

MEDICARE: MERCEDES ZOETEMAN MS, LCGC

MEDICARE: MERCEDES ZOETEMAN MS, LCGC
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1356997100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDES ZOETEMAN MS, LCGC
Provider Business Mailing Address
First Line : 311 S L ST
Second Line :
City : TACOMA
State : WA
Zip : 98405-3720
Country : US
Telephone Number : 253-403-3476
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 : 253-403-3476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2019
Last Update Date : 09/15/2021

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