Individual
MS. ILENE TERESE KRENELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, LE
Contact information
Practice address
6302 93RD ST SW, LAKEWOOD, WA 98499-9222
(253) 678-9692
Mailing address
6302 93RD ST SW, LAKEWOOD, WA 98499-9222
(253) 678-9692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10948
WA
Other
Enumeration date
02/26/2007
Last updated
03/16/2016
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