TANNER MICHAEL KENNEDY

GRANITE FALLS, WA
NPI1659832822
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: WA  HM60927797)
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
TANNER MICHAEL KENNEDY
17807 CROOKED MILE RD APT 7
GRANITE FALLS, WA 98252-8742
Phone number: 425-598-3600
Mailing Address
TANNER MICHAEL KENNEDY
1242 STATE AVE. STE. I PMB 93
MARYSVILLE, WA 98270
Phone number: 425-598-3600