Individual
AMANDA TIFFANY COZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
5716 ARCARRO CT SE, LACEY, WA 98503-7157
(360) 970-8131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO60563128
WA
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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