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Tia Tague, LMP

NPI 1891823100 · on the registry since 2007

Practice

Address
12422 E Mansfield Ave Apt 90
Spokane Valley, WA 99216
Phone
(509) 990-6104

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
1041C0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington