Individual
THAVI T THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1708 YAKIMA AVE, STE 107, TACOMA, WA 98405-5307
(253) 272-5881
(253) 383-0161
Mailing address
1708 YAKIMA AVE, STE 107, TACOMA, WA 98405-5307
(253) 272-5881
(253) 383-0161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60275959
WA
Other
Enumeration date
06/12/2012
Last updated
04/08/2021
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