Individual
TASHA HAULOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
(360) 839-2814
Mailing address
15728 95TH CT SE, YELM, WA 98597-9499
(660) 281-2913
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN61119233
WA
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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