Individual
RODIL DEANG ALCANTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 NE 178TH ST, SHORELINE, WA 98155-3538
(206) 361-2645
(206) 361-2645
Mailing address
239 NE 178TH ST, SHORELINE, WA 98155-3538
(206) 361-2645
(206) 361-2645
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9057795
—
WA
Enumeration date
04/25/2007
Last updated
07/09/2007
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