Individual
CARISSA PENDERGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 103RD PL SE, EVERETT, WA 98208-4614
(425) 877-5451
Mailing address
3605 103RD PL SE, EVERETT, WA 98208-4614
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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