Individual
MRS. APRIL ANN TANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11314 4TH AVE W STE 103, EVERETT, WA 98204-6926
(425) 355-3739
Mailing address
6531 67TH PL NE, MARYSVILLE, WA 98270-5310
(425) 359-7639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024775
WA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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