Individual
THERESA LYNN MONTEVERDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BROADWAY ST STE 210, VANCOUVER, WA 98660-3268
(360) 843-5116
Mailing address
1101 BROADWAY ST STE 210, VANCOUVER, WA 98660-3268
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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