Individual
TANYA ROSE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
(360) 384-2336
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
(360) 384-2336
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN60209378
WA
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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