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Individual

MICHELLE TINAJERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15107 SE STEVENSON DR, VANCOUVER, WA 98683-8334
(360) 904-9939
Mailing address
15107 SE STEVENSON DR, VANCOUVER, WA 98683-8334
(360) 904-9939

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC5615
WA

Other

Enumeration date
11/13/2020
Last updated
11/13/2020
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