Individual
CARRIE LYNN ANGUIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1610 BISHOP RD SW, STE. 101, TUMWATER, WA 98512-7303
(360) 923-5588
(360) 459-9183
Mailing address
PO BOX 371, WINLOCK, WA 98596-0371
(360) 870-9178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0001241
WA
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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