Individual
MR. ROBERT J TABACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1129 S 2ND AVE STE B, WALLA WALLA, WA 99362-4100
(509) 200-9201
Mailing address
PO BOX 40, WALLA WALLA, WA 99362-0201
(509) 200-9201
(509) 905-2052
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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