SearchWashington103K00000X

Flannery Tirtomihardjo

NPI 1932614617 · on the registry since 2017 · sole proprietor

Practice

Address
4746 11th Ave Ne # 112
Seattle, WA 98105
Phone
(206) 535-8876

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2017-12-04

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