Individual
CONNIE M PATNODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, CLT
Contact information
Practice address
1408 STATE AVE NE STE 103, OLYMPIA, WA 98506-4481
(360) 867-1029
Mailing address
2434 SCHIRM LOOP RD NW, OLYMPIA, WA 98502-9687
(360) 867-1029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
024201MA00006420
WA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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