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Individual

JENNIFER ANDERHOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Mailing address
PO BOX 1337, VANCOUVER, WA 98666-1337
(360) 993-3000

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61026033
WA

Other

Enumeration date
02/09/2015
Last updated
12/13/2019
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