Individual
NICOLENE KNISKERN RHYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5622 108TH PL SW, MUKILTEO, WA 98275-4654
(425) 283-8163
Mailing address
5622 108TH PL SW, MUKILTEO, WA 98275-4654
(425) 283-8163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003849
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8451296
—
WA
Enumeration date
02/08/2007
Last updated
12/22/2009
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