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Individual

LACONTRA D CASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28038 39TH AVE S, AUBURN, WA 98001
(206) 271-1918
Mailing address
28038 39TH AVE S, AUBURN, WA 98001
(206) 271-1918

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60047591
WA

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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