Individual
TANYA WENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 502-5477
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 415-5870
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
11/12/2024
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