Individual
TYANA JEAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCE
Contact information
Practice address
12506 58TH AVE SE, SNOHOMISH, WA 98296-6959
(509) 280-3699
Mailing address
12506 58TH AVE SE, SNOHOMISH, WA 98296-6959
(509) 280-3699
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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