Individual
TINA MARIE HEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
104 S FREYA ST, LFB #117A, SPOKANE, WA 99202-4862
(509) 220-0505
(509) 533-9300
Mailing address
104 S FREYA ST, LFB #117A, SPOKANE, WA 99202-4862
(509) 220-0505
(509) 533-9300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020928
WA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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