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Individual

MR. JOSEPH FRANCIS TKACIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 868-0876
(509) 385-0670
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3568
(509) 474-3245

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60656076
WA
363LA2100X
Acute Care Nurse Practitioner
0024170293
VA
363LA2100X
Acute Care Nurse Practitioner
AP60656076
WA

Other

Enumeration date
03/27/2013
Last updated
01/22/2019
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