Individual
MAKAYLA DANELLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
1428 GILHAM RD, EUGENE, OR 97401-7295
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CG61343694
WA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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