Individual
CALLIE N TABERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 S 16TH AVE, YAKIMA, WA 98902-5316
(509) 574-4917
Mailing address
1015 S 16TH AVE, YAKIMA, WA 98902-5316
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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