SearchWashington124Q00000X

Tammy Brack

NPI 1710350186 · on the registry since 2015 · sole proprietor

Practice

Address
1504 W Orchard Ave
Selah, WA 98942
Phone
(509) 949-0502

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-07

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