Jason Nicholas Toothman, MA Valid NPI

Individual provider · Specialist · Shelton, WA

NPI

1184016370

Type

Individual (Type 1)

Primary specialty

Specialist

Specialty group

Other Service Providers

Taxonomy code

174400000X

License number

MA60422625 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2015-02-24

Last updated

2016-04-26