Individual
MS. TINA I. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
15621 SE 236RD PL, COVINGTON, WA 98042-8230
(206) 786-9837
Mailing address
15621 SE 236RD PL, COVINGTON, WA 98042-8230
(206) 786-9837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60020047
WA
Other
Enumeration date
07/18/2008
Last updated
01/26/2015
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