Individual
ANGELA MARCELA AVILA - CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
2316 S STATE ST STE B, TACOMA, WA 98405-2813
(253) 572-3214
(253) 572-5880
Mailing address
2316 S STATE ST STE B, TACOMA, WA 98405-2813
(253) 572-3214
(253) 572-5880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C060614764
WA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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