Individual
BONNIE SKARLETT O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8047
(360) 977-6090
(360) 836-5659
Mailing address
8301 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8047
(360) 977-6090
(360) 836-5659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60213
WA
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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