Individual
KATHERINE LEE ANNE KHALIFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
2607 ROSSITER LN, VANCOUVER, WA 98661-5727
(360) 787-0129
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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