Individual
ANGELA DENISE HACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO 60530387
Contact information
Practice address
306 5TH ST, CLARKSTON, WA 99403-1860
(509) 758-9470
(509) 758-9478
Mailing address
1414 14TH AVE, LEWISTON, ID 83501-3608
(208) 553-5874
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO60530387
WA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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