Individual
QIANA LASHAWN TYESKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6507 YAKIMA AVE, TACOMA, WA 98408-4517
(253) 592-7825
Mailing address
6507 YAKIMA AVE, TACOMA, WA 98408-4517
(253) 592-7825
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
MA60045660
WA
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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