Individual
TYLER JACOB SHROFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5701 6TH AVE SW, F-2, TUMWATER, WA 98501-8507
(360) 915-8778
Mailing address
2725 26TH AVE NE, OLYMPIA, WA 98506-2908
(360) 970-0209
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
WA
376J00000X
Homemaker
Primary
—
WA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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