Michael Cusack
Michael Cusack is a Student in an Organized Health Care Education/Training Program in Tacoma, Washington. Practices as a sole proprietor. Licensed in West Virginia.
- Licensed in
- WV
- In the registry since
- 2025
Practice location Address checks out
1112 6th AveTacoma, WA 98405-4040
Phone: (253) 403-2915
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (WV) |
|---|
Record details
| NPI number | 1578359600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2025 |
| Last updated in NPPES | April 16, 2025 |
| Certification date | April 16, 2025 |
| Mailing address | 1112 6th Ave, Tacoma, WA 98405-4040 |
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