Individual
BRENDA LORRAINE MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11412 NE 57TH AV, VANCOUVER, WA 98686-4511
(360) 573-2631
Mailing address
PO BOX 65066, VANCOUVER, WA 98665
(360) 573-2631
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA00016709
WA
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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