Individual
TANIA F CORREA-CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 362-7282
(206) 362-7152
Mailing address
4326 147TH PL SE, BOTHELL, WA 98012-4714
(206) 354-3704
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61489374
WA
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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