Individual
OKCHA TABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 201ST ST E, SPANAWAY, WA 98387-1808
(253) 219-2137
Mailing address
1525 201ST ST E, SPANAWAY, WA 98387-1808
(253) 219-2137
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC7617
—
WA
Enumeration date
08/02/2020
Last updated
08/02/2020
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