TATYANA V BAKHTINOVA

LAKE FOREST PARK, WA
NPI1710916846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2006-07-01
Last Update Date2007-11-06
Business Address
-- TATYANA V BAKHTINOVA PA
17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155-5534
Phone number: 206-364-8272
Mailing Address
-- TATYANA V BAKHTINOVA PA
17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155-5534
Phone number: 206-363-8272