Tatyana A Golovach LMP

NPI 1902080435 - Specialist - 174400000X

NPI Details
NPI 1902080435
Gender Female
Enumeration Date 12/19/2007
Last Updated 12/19/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
8909 GRAVELLY LAKE DR SW
LAKEWOOD WA, 98499-3101, US
Phone (253) 584-1144
Fax (253) 588-5060
Business Location
8909 GRAVELLY LAKE DR SW
LAKEWOOD WA, 98499-3101, US
Phone (253) 584-1144
Fax (253) 588-5060
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number 23395
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According to our database, Tatyana A Golovach LMP NPI is 1902080435, taxonomy code is 174400000X and license number is 23395, license state is located at Washington. Tatyana A Golovach LMP physically located at 8909 Gravelly Lake Dr Sw, Lakewood WA, 98499-3101. NPI Number Tatyana A Golovach LMP has the Individual type.

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1902080435 NPI number is provided on an as is basis without warranty of any kind. 1902080435 is maintained by the National Plan & Provider Enumeration System. The contents of Tatyana A Golovach LMP are for informational purposes only.