Individual
ILANIA RHIANNON PACATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21120 MERIDIAN E, GRAHAM, WA 98338-8254
(253) 904-5565
Mailing address
21120 MERIDIAN E, GRAHAM, WA 98338-8254
(253) 904-5565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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