Individual
MS. DIANA FENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
39636 SE SPRUCE ST, SNOQUALMIE, WA 98065-9554
(206) 251-3435
Mailing address
39636 SE SPRUCE ST, SNOQUALMIE, WA 98065-9554
(206) 251-3435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022691
WA
Other
Enumeration date
01/19/2008
Last updated
01/19/2008
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