Individual
TIANA CONSTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
1723 S RAY ST, SPOKANE, WA 99223-3832
(503) 535-7434
Mailing address
1723 S RAY ST, SPOKANE, WA 99223-3832
(503) 535-7434
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN61519447
WA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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