JOY R FACKENTHALL

STANWOOD, WA
NPI1376626556
Former NameJOY R GUDERIAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  37986)
Enumeration Date2006-10-23
Last Update Date2012-12-11
Business Address
-- JOY R FACKENTHALL MD
7205 265TH ST NW
STANWOOD, WA 98292-6221
Phone number: 360-629-1504
Mailing Address
-- JOY R FACKENTHALL MD
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-258-3900
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