Tri-Cities Infusion and Wellness Clinic
NPI #1417415530 in Kennewick, Washington
Provider Information
- NPI Number
- 1417415530
- Entity Type
- Organization
- Organization Name
- Tri-Cities Infusion and Wellness Clinic
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 7, 2019
- Last Updated
- Jul 18, 2019
Practice Location
- Address
- 7211 W DESCHUTES AVE STE D202
- City
- Kennewick
- State
- Washington
- ZIP Code
- 99336-7715
- Phone
- (435) 668-3443
Authorized Official
- Name
- TYLER THORNOCK, CRNA
- Title
- GOVENOR
- Phone
- (435) 668-4334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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