Individual
KATHRYN JANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(136) 089-6448
Mailing address
2401 NE 121ST ST, VANCOUVER, WA 98686-3245
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005316
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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