Individual
CARMEN SUNDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 B STREET, VADER, WA 98593-0194
(360) 295-0906
(360) 295-0907
Mailing address
PO BOX 194, VADER, WA 98593-0194
(360) 295-0906
(360) 295-0907
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
AMBV.ES.60271398
WA
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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