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Individual

TIA R HUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSA, LAC

Contact information

Practice address
4003 212TH ST SW, #G203, MOUNTLAKE TERRACE, WA 98043-3571
(425) 750-5192
Mailing address
PMB 5166 PO BOX 257, OLYMPIA, WA 98507
(425) 750-5192

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 60193575
WA

Other

Enumeration date
06/06/2011
Last updated
06/06/2011
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