Individual
THERESA ANN EHNAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1206 S 11TH ST, #15 A, TACOMA, WA 98405-4091
(253) 272-1825
Mailing address
1206 S 11TH ST, #15 A, TACOMA, WA 98405-4091
(253) 272-1825
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00016412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185023
LABOR AND INDUSTRIES OF WASHINGTON
WA
Enumeration date
01/06/2009
Last updated
11/15/2011
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