Individual
TIFFANY GOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3712 9TH ST SW, PUYALLUP, WA 98373-3564
(253) 227-4899
(206) 350-2612
Mailing address
3712 9TH ST SW, PUYALLUP, WA 98373-3564
(253) 227-4899
(206) 350-2612
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1108782
WA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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