Individual
VERA A SHAKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686
(360) 571-3139
Mailing address
PO BOX 2344, BATTLE GROUND, WA 98604-2344
(360) 666-2936
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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