Individual
TANYA MARIE COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8977 W STATE ROAD 14, WINAMAC, IN 46996-7792
(574) 242-1381
Mailing address
8977 W STATE ROAD 14, WINAMAC, IN 46996-7792
(574) 242-1381
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
098940
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098940
—
IA
Enumeration date
11/08/2019
Last updated
11/08/2019
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