Individual
DOLORES ERMITANIO CAVADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 S 325TH ST, FEDERAL WAY, WA 98003-5933
(253) 946-4571
(253) 946-4571
Mailing address
1036 S 325TH ST, FEDERAL WAY, WA 98003-5933
(253) 946-4571
(253) 946-4571
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750328
WA
Other
Enumeration date
03/16/2008
Last updated
03/16/2008
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