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Individual

MS. TIFFANY LYNN BATTENFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
1806 S LAKE STEVENS RD, UNIT A, LAKE STEVENS, WA 98258-7959
(425) 319-2376
Mailing address
12412 16TH ST NE, LAKE STEVENS, WA 98258-7707
(425) 319-2376

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60258959
WA

Other

Enumeration date
04/24/2012
Last updated
04/29/2015
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