Individual
TARA KALEILANI LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23507 55TH AVE W, MOUNTLAKE TERRACE, WA 98043-5223
(206) 331-1783
Mailing address
23507 55TH AVE W, MOUNTLAKE TERRACE, WA 98043-5223
(206) 331-1783
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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