Most Relevant Information
Provider Data
| NPI Number: | 1003643842 |
| Provider Name: | SHADONNA KLINKENBERG RN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/16/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
3436 MARY ELDER RD NE
OLYMPIA
WA
985065050
Practice Location Phone/Fax
| Phone: | 3605282590 |
| Fax: |
Provider Mailing Location
2241 CANTERGROVE DR SE
LACEY
WA
985033091
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |