TYSON ANDELIN

MOSES LAKE, WA
NPI1508343732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60875340)
Additional Taxonomies363A00000X Physician Assistant
(Licence: WA  PENDING)
Enumeration Date2018-07-20
Last Update Date2021-06-14
Business Address
TYSON ANDELIN
605 S COOLIDGE ST
MOSES LAKE, WA 98837-1893
Phone number: 509-765-0674
Mailing Address
TYSON ANDELIN
605 S COOLIDGE ST
MOSES LAKE, WA 98837-1893
Phone number: 509-765-0674