Individual
MRS. VALERIE CUSTODIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S NATIONAL AVE, BREMERTON, WA 98312-3660
(360) 473-4642
Mailing address
134 MARION AVE N, BREMERTON, WA 98312-3542
(360) 981-1433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
382720A
WA
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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