Individual
RICHARD VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8704 BLAINE RD, BLAINE, WA 98230-9715
(360) 332-9974
Mailing address
PO BOX 5413, BELLINGHAM, WA 98227-5413
(360) 332-9974
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
602302521
WA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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