Individual
MS. TARA MARIE CORNEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3032 252ND ST NE, ARLINGTON, WA 98223-7222
(425) 737-2000
Mailing address
303 N OLYMPIC AVE, ARLINGTON, WA 98223-7222
(425) 737-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60045641
WA
Other
Enumeration date
12/21/2009
Last updated
02/07/2017
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