Individual
CORINA L FESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 GREEN RIDGE LN, SELAH, WA 98942-9607
(509) 406-3995
Mailing address
180 GREEN RIDGE LN, SELAH, WA 98942-9607
(509) 406-3995
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60162057
WA
Other
Enumeration date
06/22/2009
Last updated
06/10/2011
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