Provider Demographics
NPI:1477673028
Name:ZINDELL, HALIN ALISSA (AP, LAC)
Entity Type:Individual
Prefix:MRS
First Name:HALIN
Middle Name:ALISSA
Last Name:ZINDELL
Suffix:
Gender:F
Credentials:AP, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 KNECHTEL WAY NE UNIT 406
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2878
Mailing Address - Country:US
Mailing Address - Phone:206-855-1288
Mailing Address - Fax:206-780-5598
Practice Address - Street 1:360 KNECHTEL WAY NE UNIT 406
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2878
Practice Address - Country:US
Practice Address - Phone:206-855-1288
Practice Address - Fax:206-780-5598
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002535171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist