Provider Demographics
NPI:1184256596
Name:LIM, TAMEKA B (DACM)
Entity type:Individual
Prefix:MS
First Name:TAMEKA
Middle Name:B
Last Name:LIM
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
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Mailing Address - Street 1:108 SE 124TH AVE STE 28
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6015
Mailing Address - Country:US
Mailing Address - Phone:360-524-3178
Mailing Address - Fax:360-885-4944
Practice Address - Street 1:108 SE 124TH AVE STE 28
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6015
Practice Address - Country:US
Practice Address - Phone:360-524-3178
Practice Address - Fax:360-885-4944
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2024-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAC61047335171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist