Individual
TASHA MARIE ENOCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16148 CLEVELAND ST, REDMOND, WA 98052-4318
(425) 881-7790
(425) 558-5676
Mailing address
902 PINE ST, SULTAN, WA 98294-9440
(206) 713-3081
(425) 558-5676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019929
WA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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