Individual
MUGGSIE RAY VAN TASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEER
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Mailing address
2121 26TH AVE S APT 305, SEATTLE, WA 98144-4757
(206) 601-7155
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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