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Individual

CARINE AMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10115 NE 82ND AVE, VANCOUVER, WA 98662-1358
(360) 431-6997
Mailing address
10115 NE 82ND AVE, VANCOUVER, WA 98662-1358
(360) 431-6997

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
IHS.FS.70057864
WA
253Z00000X
In Home Supportive Care Agency
Primary
605955606-001-0001
WA

Other

Enumeration date
08/19/2025
Last updated
04/08/2026
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