Individual
MISS JESSICA D MULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
9413 NE HIGHWAY 99, SUITE 1, VANCOUVER, WA 98665-8947
(136) 071-9934
Mailing address
9413 NE HIGHWAY 99, SUITE 1, VANCOUVER, WA 98665-8947
(136) 071-9934
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60031942
WA
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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