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Individual

MS. TINA TSIAKALIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
1500 EASTLAKE AVE E, SEATTLE, WA 98102-3707
(206) 407-3397
(206) 407-3775
Mailing address
6219 22ND AVE NE, SEATTLE, WA 98115-6917
(206) 526-8312

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW 60095894
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770880429
WA
Enumeration date
11/10/2009
Last updated
03/01/2013
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