Individual
DANIELLE TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11605 240TH ST E, GRAHAM, WA 98338-6764
(253) 534-5900
Mailing address
11605 240TH ST E, GRAHAM, WA 98338-6764
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
61333660
WA
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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