Provider Demographics
NPI:1841312253
Name:SWEET, MARGARET JO (LMP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JO
Last Name:SWEET
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3935 N MASON AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-4931
Mailing Address - Country:US
Mailing Address - Phone:253-759-7788
Mailing Address - Fax:253-565-7355
Practice Address - Street 1:5005 CENTER ST
Practice Address - Street 2:SUIT I
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-2347
Practice Address - Country:US
Practice Address - Phone:253-565-7567
Practice Address - Fax:253-565-7355
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA35089174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist