Individual
JANELLE BLANCAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 CENTRAL AVE SOUTH, QUINCY, WA 98848
(509) 787-4466
Mailing address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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