Individual
JEANETTE MARIE MONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2006 MAIN ST, VANCOUVER, WA 98660-2637
(360) 906-0826
Mailing address
5921 NE 106TH WAY, VANCOUVER, WA 98686-7025
(360) 909-6221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60058063
WA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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