Individual
AURITA ESTUDILLO TAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NAR (GRANDFATHERED)
Contact information
Practice address
11412 NE CONIFER DR, VANCOUVER, WA 98662-3110
(360) 998-7992
(360) 953-8236
Mailing address
11412 NE CONIFER DR, VANCOUVER, WA 98662-3110
(360) 998-7992
(360) 953-8236
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
754259
WA
Other
Enumeration date
11/02/2019
Last updated
05/13/2025
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