NPI 1003640517

Thomas Izayah Charles

Practitioner Peer Specialist Yakima, WA

Practice location

Address: 505 S 4th Ave, Yakima, WA 98902-3547
Phone: (509) 575-4084
Mailing address: PO Box 959, Yakima, WA 98907-0959

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003640517
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2024
Record last updated: 27 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.