Individual
JOHN EARL TISSOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1960 THOMPSON DR, SEDRO WOOLLEY, WA 98284-5007
(360) 856-3186
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(360) 856-3186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60610268
WA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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