ALENA F PONKRATOV

CHEHALIS, WA
NPI1164785531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60267251)
Enumeration Date2012-06-20
Last Update Date2012-10-01
Business Address
-- ALENA F PONKRATOV ARNP
2690 NE KRESKY AVE
CHEHALIS, WA 98532-2412
Phone number: 360-330-9595
Mailing Address
-- ALENA F PONKRATOV ARNP
2690 NE KRESKY AVE
CHEHALIS, WA 98532-2412
Phone number: 360-330-9595
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