Individual
TINA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 NW 20TH AVE STE 103, BATTLE GROUND, WA 98604-4175
(360) 597-9731
(360) 597-9732
Mailing address
18 NW 20TH AVE STE 103, BATTLE GROUND, WA 98604-4175
(360) 597-9731
(360) 597-9732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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