Individual
MOLLY J TINSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2302
(253) 820-6918
(253) 983-9474
Mailing address
1602 ADAMS ST, STEILACOOM, WA 98388-3806
(253) 820-6918
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021131
WA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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