Individual
TIZRAH JERUSALEM GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 7TH ST NE, TACOMA, WA 98422-4025
(509) 947-8154
Mailing address
6425 7TH ST NE, TACOMA, WA 98422-4025
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121003
STATE INSURANCE
WA
Enumeration date
10/27/2021
Last updated
10/27/2021
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