Individual
CHANTE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7123 87TH ST SW, LAKEWOOD, WA 98499-1903
(253) 301-7603
Mailing address
7123 87TH ST SW, LAKEWOOD, WA 98499-1903
(253) 301-7603
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC17198
WA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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