Individual provider · NPI-1

Tizrah Jerusalem Garza

Assisted Living Facility · Tacoma, WA

NPI number1144984998
StatusActive
Last updated in NPPESOct 27, 2021

Details

NPI
1144984998
Entity type
Individual (NPI-1)
Name
Tizrah Jerusalem Garza
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2021
Certification date
Oct 27, 2021
Last updated
Oct 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

6425 7th St Ne
Tacoma, WA 98422-4025

Phone 509-947-8154

Mailing address

6425 7th St Ne
Tacoma, WA 98422-4025

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