Mary Jean Tahlequah in Kent - Specialist
Mary Jean Tahlequah - NPI 1073679395
Mary Jean Tahlequah is a Specialist in Kent, Washington. Mary Jean Tahlequah practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mary Jean Tahlequah is 1073679395. The last update date is 2007-07-08.
Mary Jean Tahlequah's current location address is 27615 108th Ave Se, Kent, Washington. You can contact this provider via phone number 2538502333 and fax number 2538507164. The mailing address for Mary Jean Tahlequah is 27615 108th Ave Se, Kent, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Jean Tahlequah |
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Address | 27615 108th Ave Se, Kent, Washington |
Phone Number | 2538502333 |
Fax Number | 2538507164 |
Sole Proprietor | Y |
Credentials | LMP,COMP,C |
NPI Number Detail
NPI Number | 1073679395 |
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Provider Enumeration Date | 2006-12-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 27615 108th Ave Se |
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City | Kent |
State | Washington (WA) |
Post Code | 980308768 |
Phone Number | 2538502333 |
Fax Number | 2538507164 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MA00010308 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
MA00010308 | WA | MASSAGE LIC # |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Jean Tahlequah by the Centers for Medicare & Medicaid Services?
The Mary Jean Tahlequah has been assigned the NPI (National Provider Identifier) 1073679395. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary Jean Tahlequah's facilities are situated?
The facilities of Mary Jean Tahlequah are physically located at the following address: 27615 108Th Ave Se, Kent, WA, 980308768.
What is Mary Jean Tahlequah's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Jean Tahlequah's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Mary Jean Tahlequah's 1073679395 issued?
The Mary Jean Tahlequah's 1073679395 was issued on 2006-12-29.
When was the information related to Mary Jean Tahlequah most recently updated or refreshed?
The details pertaining to the Mary Jean Tahlequah, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.