Individual
JENNIFER NICOLE BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 S HOWARD ST, WALLA WALLA, WA 99362-4148
(509) 386-0458
Mailing address
1316 S HOWARD ST, WALLA WALLA, WA 99362-4148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC 60097803
WA
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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