Individual
TANIS UNRELENTING ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Mailing address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
12/22/2022
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