Individual
LYNN ADELE PANKONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23201 W CHARLES RD, NINE MILE FALLS, WA 99026-9744
(509) 220-9224
Mailing address
23201 W CHARLES RD, NINE MILE FALLS, WA 99026-9744
(509) 220-9224
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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