Individual
KELLY RITA ZAHNISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
616 NE 81ST ST, VANCOUVER, WA 98665-8136
(360) 635-7574
Mailing address
4213 NE 138TH AVE, VANCOUVER, WA 98682-6938
(360) 635-7574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021895
WA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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