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Individual

ANTOINETTE SACOMANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16316 SE 165TH ST, RENTON, WA 98058-8221
(425) 830-5558
Mailing address
16316 SE 165TH ST, RENTON, WA 98058-8221
(425) 830-5558

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
374J00000X
DOULA
WA
Enumeration date
04/29/2019
Last updated
04/29/2019
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