Individual
TARA MATIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
494 W COLUMBIA ST, MONROE, WA 98272-1339
(425) 308-3227
Mailing address
494 W COLUMBIA ST, MONROE, WA 98272-1339
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
P160263868
WA
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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