Individual
MS. JEANETTE M FENTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1000 EAST JEWETT BOULEVARD, SUITE 201, WHITE SALMON, WA 98672
(509) 493-3220
Mailing address
PO BOX 154, BINGEN, WA 98605-0154
(509) 493-2172
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00000473
WA
171100000X
Acupuncturist
AC00536
OR
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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