Individual
MARK ANUCHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
16406 NE 21ST ST, VANCOUVER, WA 98684-6776
(360) 597-6212
Mailing address
16406 NE 21ST ST, VANCOUVER, WA 98684-6776
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
61261610
WA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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