TACKESHA TANESHA THOMAS

LAKEWOOD, WA
NPI1487244711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP61136177)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WA  61136177)
Enumeration Date2021-01-20
Last Update Date2021-12-17
Business Address
TACKESHA TANESHA THOMAS FNP
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-304-7753
Mailing Address
TACKESHA TANESHA THOMAS FNP
6811 S 204TH ST STE 280
KENT, WA 98032-1352
Phone number: 888-674-5871