Individual
GINA MARIE FANSLER-HENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 99336-2968
(509) 438-3318
Mailing address
4506 S RAINIER CT, KENNEWICK, WA 99337-3918
(509) 438-3318
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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