Individual
MRS. MARCELINA MACANDOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 186TH STREET CT E, SPANAWAY, WA 98387-8530
(253) 271-7145
(253) 655-5427
Mailing address
1102 186TH STREET CT E, SPANAWAY, WA 98387-8530
(253) 271-7145
(253) 655-5427
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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