Individual
MRS. ANGELA J GELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18124 SUNSHINE LN SW, ROCHESTER, WA 98579-7528
(360) 508-4958
Mailing address
18124 SUNSHINE LN SW, ROCHESTER, WA 98579-7528
(360) 508-4958
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
WA
Enumeration date
11/28/2016
Last updated
11/28/2016
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