Individual
TAMMY ELANA FAHBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7623
(253) 534-7610
Mailing address
4020 248TH ST E, SPANAWAY, WA 98387-7072
(253) 376-7018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00049685
WA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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