Individual
TANGA CLEEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 NE 117TH ST, VANCOUVER, WA 98685-3937
(360) 718-2138
Mailing address
212 NE 117TH ST, VANCOUVER, WA 98685-3937
(360) 718-2138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017388
WA
Other
Enumeration date
01/11/2008
Last updated
01/12/2008
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