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Individual

MS. TRINA KOUDELKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3015 SQUALICUM PKWY STE 100, BELLINGHAM, WA 98225-1906
(360) 715-4186
(360) 715-4187
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60807103
WA

Other

Enumeration date
09/21/2016
Last updated
03/16/2018
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