Tracy Ta is a student in an organized health care education training program in Olympia, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tracy Ta NPI is 1184072480. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4535 TRENTON LOOP SE
OLYMPIA, WA
ZIP 98501-800
Phone: (360) 561-3536
Fax: (360) 459-2193
The enumeration date for this NPI number is 5/26/2016 and was last updated on 5/26/2016.