Individual
MRS. AYANNA JUSTINE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(360) 763-5610
Mailing address
260 NE MAHONIA DR, BELFAIR, WA 98528-9673
(253) 736-4312
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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