Organization
TAN-NELSON LLC
Active
Other names
CardiaWave
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY NELSON (CO-OWNER)
(920) 941-0663
Entity
Organization
Contact information
Practice address
12402 ADMIRALTY WAY, J302, EVERETT, WA 98204-5543
(920) 941-0663
(186) 647-9358
Mailing address
12402 ADMIRALTY WAY, J302, EVERETT, WA 98204-5543
(920) 941-0663
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/28/2007
Last updated
08/22/2020
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