Individual
TETYANA CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W 21ST AVE, KENNEWICK, WA 99337-4915
(509) 942-4395
Mailing address
317 W 21ST AVE, KENNEWICK, WA 99337-4915
(509) 942-4395
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
05/12/2021
Last updated
05/13/2021
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