Most Relevant Information
Provider Data
| NPI Number: | 1003671041 |
| Provider Name: | AMANDA SHIM |
| Entity Type: | Individual |
| Taxonomy Code: | 171000000X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2024 |
| Last Updated: | 02/19/2024 |
Provider Practice Location
9040 JACKSON AVE
TACOMA
WA
984310001
Practice Location Phone/Fax
| Phone: | 2539681250 |
| Fax: |
Provider Mailing Location
9040 JACKSON AVE
TACOMA
WA
984310001
Provider Mailing Phone/Fax
| Phone: | 2539681250 |
| Fax: |