| NPI | 1487930871 |
|---|---|
| Professional Name | KIRK ALAN TJALAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 234051) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 234051) |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2024-09-12 |