Individual
AGNES ESTRADA CABANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7523 ALABAMA DR, VANCOUVER, WA 98664-2203
(360) 258-1994
Mailing address
7523 ALABAMA DR, VANCOUVER, WA 98664-2203
(360) 258-1994
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
754812
WA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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