Tiana Constant, LD
Denturist in Spokane, WA. Individual provider (NPI-1).
NPI number1467201848
StatusActive
Last updated in NPPESMay 16, 2024
Details
- NPI
- 1467201848
- Entity type
- Individual (NPI-1)
- Name
- Tiana Constant
- Credential
- LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2024
- Certification date
- May 16, 2024
- Last updated
- May 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DN61519447 | WA | Yes |
Practice location
1723 S Ray StSpokane, WA 99223-3832
Phone 503-535-7434
Mailing address
1723 S Ray StSpokane, WA 99223-3832
Phone 503-535-7434
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