Tana Mae Whitaker
NPI #1386766400 in Renton, Washington
Provider Information
- NPI Number
- 1386766400
- Entity Type
- Individual
- Name
- Tana Mae Whitaker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Oct 9, 2008
Practice Location
- Address
- 121 PELLY AVE N
- City
- Renton
- State
- Washington
- ZIP Code
- 98057-5714
- Phone
- (425) 271-2389
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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