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Individual

JIN MEI LO-TOMBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 462-5059
Mailing address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 462-5059

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA-609
ID
363AS0400X
Surgical Physician Assistant
Primary
PA10004954
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16678571
MEDICARE PTAN
ID
01
G8871055
MEDICARE PTAN
WA
01
G8878130
MEDICARE PTAN
WA
Enumeration date
02/13/2006
Last updated
05/24/2021
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