Individual
MARYNELA CALIP MOUNTJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 NW 46TH ST, VANCOUVER, WA 98663-1292
(360) 521-1852
(360) 566-8360
Mailing address
412 NW 46TH ST, VANCOUVER, WA 98663-1292
(360) 521-1852
(360) 566-8360
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
60456208
WA
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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