ANDREW MYLES TAGLE

MOUNT VERNON, WA
NPI1003502303
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  OL61434148)
Enumeration Date2023-04-11
Last Update Date2023-07-10
Business Address
ANDREW MYLES TAGLE DO
819 S 13TH ST
MOUNT VERNON, WA 98274-4112
Phone number: 360-814-6230
Mailing Address
ANDREW MYLES TAGLE DO
819 S 13TH ST
MOUNT VERNON, WA 98274-4112
Phone number: 360-814-6230