Individual
TANYA JEAN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
107 1ST ST N, YELM, WA 98597-7718
(360) 458-6124
Mailing address
18428 BLUE HILLS DR SE, YELM, WA 98597-9316
(360) 894-1525
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00046332
WA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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