Individual
PAJYEEBSUAB VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1914 GEORGE WASHINGTON WAY, APT B, RICHLAND, WA 99354-2343
(509) 318-5548
Mailing address
1914 GEORGE WASHINGTON WAY, APT B, RICHLAND, WA 99354-2343
(509) 318-5548
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OC60451655
WA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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