Individual
MISS TASHEEA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HOME CARE AID LICENS
Contact information
Practice address
5501 S MULLEN ST APT B5, TACOMA, WA 98409-1839
(360) 559-7389
Mailing address
5501 S MULLEN ST APT B5, TACOMA, WA 98409-1839
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HM.60963924
WA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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