Individual
CRYSTAL MARIE PERETE COLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 S CUSHMAN AVE, TACOMA, WA 98405-3664
(360) 878-2712
Mailing address
908 S CUSHMAN AVE, TACOMA, WA 98405-3664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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