Individual
TAMMY LOU VEGA-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
60169858
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376K00000X
NURSING ASSISTANT
—
Enumeration date
11/13/2018
Last updated
11/13/2018
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