Individual
ADELITA ROSE SPEARS-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 NE 136TH AVE STE 220, VANCOUVER, WA 98684-6951
(360) 952-7060
Mailing address
1902 NE 124TH AVE, VANCOUVER, WA 98684-5559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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