Individual
KALEINANI EVA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E FRONT ST, PORT ANGELES, WA 98362-3320
(360) 809-0959
Mailing address
PO BOX 1647, PORT ANGELES, WA 98362-0199
(360) 809-0959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60630358
WA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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