Individual
ROSE ALMANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 GAP RD, GRANGER, WA 98932-9487
(509) 439-9660
Mailing address
1841 GAP RD, GRANGER, WA 98932-9487
(509) 439-9660
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
WA
Enumeration date
11/05/2019
Last updated
11/05/2019
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