Tina Marie House L.M.P

NPI 1073712170 - Contractor - 171W00000X

NPI Details
NPI 1073712170
Gender Female
Enumeration Date 07/17/2007
Last Updated 07/17/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
109 SE 101ST AVE
VANCOUVER WA, 98664-3907, US
Phone (360) 256-6748
Business Location
PO BOX 544
FOREST GROVE OR, 97116-0544, US
Phone (360) 773-3347
Taxonomy Code 171W00000X
License State Washington
License Number MA00023564
Remove 1073712170 NPI Number

According to our database, Ms. Tina Marie House L.M.P NPI is 1073712170, taxonomy code is 171W00000X and license number is MA00023564, license state is located at Washington. Tina Marie House L.M.P physically located at 109 Se 101st Ave, Vancouver WA, 98664-3907. NPI Number Tina Marie House L.M.P has the Individual type.

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1073712170 NPI number is provided on an as is basis without warranty of any kind. 1073712170 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Marie House L.M.P are for informational purposes only.