Thomas Izayah Charles

NPI #1003640517 in Yakima, Washington

Provider Information

NPI Number: 1003640517
Entity Type: Individual
Name: Thomas Izayah Charles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 27, 2024
Last Updated: Aug 27, 2024

Practice Location

Address: 505 S 4TH AVE
City: Yakima
State: Washington
ZIP Code: 98902-3547
Phone: (509) 575-4084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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