Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ML60369070 | WA |
N | 2080P0207X | Pediatric Hematology-Oncologist | 142179 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD.60953479 | WA |
NPI | 1063754315 |
---|---|
Provider Name | Vanessa Pineros Tolbert |
First Address | Tacoma, WA 98405-4289 |
Second Address | Tacoma, WA 98405-4289 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 11/03/2021 |