Search › Washington › 374J00000X
Tina Black
NPI 1083982045 · on the registry since 2011 · sole proprietor
Practice
- Address
- 210 Sparks Dr
Kelso, WA 98626 - Phone
- (360) 431-8275
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2011-12-06
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