Individual
KAYLA ODENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
563 9TH ST, WASHOUGAL, WA 98671-1302
(360) 449-2071
Mailing address
563 9TH ST, WASHOUGAL, WA 98671-1302
(360) 449-2071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60951994
WA
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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