Individual
TIMOTHY LEVI TEISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5937
Mailing address
1221 S PEARL ST, TACOMA, WA 98465-2215
(253) 326-6240
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN.RN.61606881
WA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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