TANNER WINN ANDRE

RICHLAND, WA
NPI1750862116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies207P00000X Emergency Medicine
(Licence: TN  1151313)
Enumeration Date2018-08-23
Last Update Date2023-03-29
Business Address
TANNER WINN ANDRE PA
888 SWIFT BLVD
RICHLAND, WA 99352-3514
Phone number: 949-212-6116
Mailing Address
TANNER WINN ANDRE PA
19361 JASPER HILL RD
TRABUCO CANYON, CA 92679-1185
Phone number: 949-212-6116