Individual
TAMMY MARIE TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPM
Contact information
Practice address
515 E. FRANCES AVE STE#8, SPOKANE, WA 99205
(509) 326-5762
Mailing address
10 E MAYFAIR CT APT 36, SPOKANE, WA 99208-5909
(509) 951-7304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60300058311
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LUCKYDOGTUTT
—
WA
Enumeration date
04/21/2010
Last updated
04/21/2010
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