Individual
MRS. ANNIE BHAGWANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
183 SHADY GROVE RD, ONALASKA, WA 98570-9453
(360) 985-7033
Mailing address
183 SHADY GROVE RD, ONALASKA, WA 98570-9453
(360) 985-7033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012157
WA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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