Individual
TAI ANDREW TAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22813 LAKEVIEW DR APT F314, MOUNTLAKE TERRACE, WA 98043-2855
(425) 244-2279
Mailing address
22813 LAKEVIEW DR APT F314, MOUNTLAKE TERRACE, WA 98043-2855
(425) 244-2279
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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