Individual
KAYLA GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18444 139TH STREET EAST, BONNEY LAKE, WA 98391
(210) 854-6088
Mailing address
18444 139TH ST E, BONNEY LAKE, WA 98391-5486
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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