Individual
EVANGELINE ROYON PLUNKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5912 NE 112TH ST, VANCOUVER, WA 98686-5953
(360) 852-8249
(360) 852-8276
Mailing address
5912 NE 112TH ST, VANCOUVER, WA 98686-5953
(360) 852-8249
(360) 852-8276
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
753951
WA
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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