Individual
TIFFANY JILL COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7723 CENTER BLVD SE, SNOQUALMIE, WA 98065-8930
(425) 396-7778
(425) 396-7097
Mailing address
35127 SE RIDGE ST, SNOQUALMIE, WA 98065-9081
(425) 396-7422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018776
WA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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