Individual
JENNIFER MARIE TISKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-3101
Mailing address
PO BOX 356390, SEATTLE, WA 98195-6390
(206) 543-3101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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