THOMAS TAE

LOS ANGELES, CA
NPI1205308046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  NP95011784)
Enumeration Date2018-12-18
Last Update Date2023-01-11
Business Address
THOMAS TAE arnp
3530 WILSHIRE BLVD STE 1200
LOS ANGELES, CA 90010-2343
Phone number: 425-273-8095
Mailing Address
THOMAS TAE arnp
12640 DOUBLE EAGLE DR
MUKILTEO, WA 98275-5556
Phone number: 425-273-8095