Individual
LYNN MARIE TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N ELY ST, KENNEWICK, WA 99336-2991
(509) 783-1438
(509) 783-3321
Mailing address
101 N ELY ST, KENNEWICK, WA 99336-2991
(509) 783-1438
(509) 783-3321
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00042674
WA
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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