Individual
MRS. GLORYANN BONEBRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6704 NE 199TH ST, VANCOUVER, WA 98686-1752
(360) 574-1820
Mailing address
6704 NE 199TH ST, VANCOUVER, WA 98686-1752
(360) 574-1820
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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