Individual
CORAZON FABIAN LEGASPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 DAVIS AVE S, RENTON, WA 98055-3313
(425) 336-9646
Mailing address
1813 DAVIS AVE S, RENTON, WA 98055-3313
(425) 336-9646
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
755358
WA
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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