Individual
GEORGE DAVID KAUANOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6840 CAPITOL BLVD SE BLDG 3, TUMWATER, WA 98501-5513
(360) 754-7629
Mailing address
PO BOX 14907, TUMWATER, WA 98511-4907
(360) 754-7629
(360) 350-0564
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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