Individual
TARSHENE NICOLE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16703 SE MCGILLIVRAY BLVD, #215, VANCOUVER, WA 98683-4300
(360) 883-2450
(866) 935-1910
Mailing address
16703 SE MCGILLIVRAY BLVD, #215, VANCOUVER, WA 98683-4300
(360) 883-2450
(866) 935-1910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020385
WA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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