Individual
JHEZIELLE PUNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1700 MAIN ST UNIT 323, VANCOUVER, WA 98660-2770
(704) 307-1340
Mailing address
1700 MAIN ST UNIT 323, VANCOUVER, WA 98660-2770
(704) 307-1340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P260908166
WA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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