Individual
TAMARA VANATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
730 ERICKSEN AVE NE, SUITE 110, BAINBRIDGE ISLAND, WA 98110-2837
(206) 842-4168
Mailing address
PO BOX 11423, BAINBRIDGE ISLAND, WA 98110-5423
(206) 842-4168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014483
WA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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