Individual
TANIA AMADOR CHURAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 COLVIN PL, MOUNT VERNON, WA 98274-9118
(360) 728-8067
Mailing address
214 COLVIN PL, MOUNT VERNON, WA 98274-9118
(360) 728-8067
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
WA
251B00000X
Case Management Agency
Primary
—
WA
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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