Individual
ANGELINO SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
Mailing address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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