Individual
HOLLIE CANNELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2312 RUCKER AVE, EVERETT, WA 98201-2723
(425) 923-5433
(425) 322-5004
Mailing address
2312 RUCKER AVE, EVERETT, WA 98201-2723
(425) 923-5433
(425) 322-5004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016819
WA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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