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NPI Code Detail

MEDICARE: ROANNIE TIONGSON TUASON-GONZALEZ

MEDICARE:   ROANNIE TIONGSON TUASON-GONZALEZ
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
1183500000XPharmacistPH60337849WA

General Provider Information

NPI Number : 1386371755
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROANNIE TIONGSON TUASON-GONZALEZ
Provider Business Mailing Address
First Line : 4545 OLIVINE DR SW
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98367-6501
Country : US
Telephone Number : 360-845-0077
Fax Number :
Provider Business Practice Location Address
First Line : 3355 BETHEL RD SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5635
Country : US
Telephone Number : 360-329-5465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2022
Last Update Date : 08/04/2022

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Directions to “ ROANNIE TIONGSON TUASON-GONZALEZ ” Practice Location

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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.