Individual
JOANNA CONCETTA GARRITANO ROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
Mailing address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00044356
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039578
LABOR & INDUSTRY
WA
01
—
4356GA
BLUE SHIELD
WA
05
—
8417172
—
WA
Enumeration date
08/30/2006
Last updated
04/07/2021
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