Individual
MRS. MISTY MCINCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22308 GLENN RD, MOUNT VERNON, WA 98273-8055
(360) 333-1918
Mailing address
22308 GLENN RD, MOUNT VERNON, WA 98273-8055
(360) 333-1918
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP60308826
WA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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