Individual
MICHELLE CONCEPCION TANCHANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10322 NE 132ND ST, KIRKLAND, WA 98034-2829
(425) 822-5095
Mailing address
10322 NE 132ND ST, KIRKLAND, WA 98034-2829
(425) 822-5095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
164W00000X
Licensed Practical Nurse
Primary
LP60255711
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
07/03/2023
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