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Individual

LYNOLD N TUILOMA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9728 N MORTON CT APT 1012, SPOKANE, WA 99218-3831
(808) 798-0757
Mailing address
5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 99208-1122
(509) 838-4651

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61548235
WA
175T00000X
Peer Specialist
Primary
WA

Other

Enumeration date
12/05/2023
Last updated
04/16/2024
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