Individual
REYNARD CARRIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5305 NE 121ST AVE UNIT 114, VANCOUVER, WA 98682-6246
(360) 944-4554
(360) 256-3349
Mailing address
5305 NE 121ST AVE UNIT 114, VANCOUVER, WA 98682-6246
(360) 944-4554
(360) 256-3349
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
491380990
WA
174400000X
Specialist
Primary
57181600
WA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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