Tara Licona
Tara Licona is a Technician in Seattle, Washington. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
8444 Rainier Ave SSeattle, WA 98118-4655
Phone: (253) 833-7444
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X |
|---|
Record details
| NPI number | 1235702895 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 21, 2021 |
| Last updated in NPPES | July 21, 2021 |
| Certification date | July 21, 2021 |
| Mailing address | 325 W Gowe St, Kent, WA 98032-5892 |
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