Individual
JENNIE CATHERINE ERDLY-TAMBELLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4769 BRECH ST SE, TUMWATER, WA 98501-4612
(360) 491-0613
Mailing address
4769 BRECH ST SE, TUMWATER, WA 98501-4612
(360) 491-0613
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00004654
WA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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