Individual
TRACEY MABEL KHATIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 SW PANORAMA DR, PULLMAN, WA 99163-7301
(413) 262-4360
Mailing address
1460 SW PANORAMA DR, PULLMAN, WA 99163-7301
(413) 262-4360
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HM61106291
WA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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