Individual
MRS. ATHENA WAKONABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 377-8581
Mailing address
1133 MAGNUSON WAY, BREMERTON, WA 98310-4530
(760) 573-1162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/02/2024
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