Individual
TAMMURA HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13505 NE 75TH ST, REDMOND, WA 98052-4032
(425) 936-2460
Mailing address
PO BOX 97039, REDMOND, WA 98073-9739
(425) 495-3123
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00171900
WA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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