SearchWashington374J00000X

Tyana Kelley, BCE

NPI 1710423892 · on the registry since 2017 · sole proprietor

Practice

Address
12506 58th Ave Se
Snohomish, WA 98296
Phone
(509) 280-3699

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2017-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington