Individual
AXELY RECINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 NW BUCKLIN HILL RD STE 215, SILVERDALE, WA 98383-8363
(360) 337-2222
Mailing address
3060 NE MCWILLIAMS RD TRLR 132, BREMERTON, WA 98311-9586
(360) 473-9189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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