Individual
MRS. VASILICA DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 S 272ND ST, KENT, WA 98032-7062
(253) 859-3220
(253) 859-3220
Mailing address
3509 S 272ND ST, KENT, WA 98032-7062
(253) 859-3220
(253) 859-3220
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768846
—
WA
Enumeration date
03/05/2014
Last updated
03/05/2014
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