Individual
TINNECA FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
14610 154TH ST E, ORTING, WA 98360
(206) 708-0616
Mailing address
PO BOX 38, SUMNER, WA 98390
(206) 708-0616
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW60621168
WA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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