Individual
TRICIA TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 99336-2968
(562) 328-8191
Mailing address
3107 W METALINE PL, KENNEWICK, WA 99336-2449
(562) 328-8191
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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