Individual
CHANDRA MARIE ZICHTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8605 NE 86TH ST, VANCOUVER, WA 98662-2452
(360) 772-1622
Mailing address
8605 NE 86TH ST, VANCOUVER, WA 98662-2452
(360) 772-1622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00142077
WA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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