Individual
TINA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 W KING TUT RD, BELLINGHAM, WA 98226-9652
(360) 255-3116
Mailing address
348 W KING TUT RD, BELLINGHAM, WA 98226-9652
(360) 255-3116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004334
WA
Other
Enumeration date
06/06/2011
Last updated
07/25/2011
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