Haley Tanke, LL61087644

NPI 1184213910 · on the registry since 2021 · sole proprietor

Practice

Address: 1620 S Pioneer Way
Moses Lake, WA 98837
Phone: (509) 766-2670
Fax: (509) 766-2689
Organisation at this address: Moses Lake School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-01-15

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