Individual
ANGIE NATHALIE PINEROS CASTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 COOPER POINT RD SW, OLYMPIA, WA 98502-7204
(360) 464-9052
Mailing address
1625 SUNDROP LN SE, TUMWATER, WA 98501
(183) 227-1916
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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