Individual
ANIGONIA QUITUGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 5TH AVE NE APT B202, PUYALLUP, WA 98372-7059
(253) 286-8262
Mailing address
2905 5TH AVE NE APT B202, PUYALLUP, WA 98372-7059
(253) 286-8262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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