Individual
DONNA K VANACKEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 SAN JUAN AVE, PORT TOWNSEND, WA 98368-3323
(360) 379-4366
(360) 379-4548
Mailing address
3939 SAN JUAN AVE, PORT TOWNSEND, WA 98368-3323
(360) 379-4366
(360) 379-4548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00003552
WA
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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