Individual
TINA M KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2505 S BATES RD, SPOKANE VALLEY, WA 99206-5733
(509) 868-9406
Mailing address
2505 S BATES RD, SPOKANE VALLEY, WA 99206-5733
(509) 868-9406
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN60065591
WA
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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