Individual
TAKALI SYNTHICY OMEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 S GRADY WAY STE 600, RENTON, WA 98057-3227
(360) 742-7605
Mailing address
707 S GRADY WAY STE 600, RENTON, WA 98057-3227
(360) 742-7605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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