Tina Marie Byrd, LMP
NPI #1700336765 in Longview, Washington
Provider Information
- NPI Number
- 1700336765
- Entity Type
- Individual
- Name
- Tina Marie Byrd, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- LMP
- Enumeration Date
- Oct 13, 2016
- Last Updated
- May 3, 2021
Practice Location
- Address
- 803 VANDERCOOK WAY STE 5
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-4039
- Phone
- (360) 200-2892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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