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Organization

FELLOWSHIP SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSUE MONTELONGO BSSS (OWNER/CEO)
(509) 910-0377
Entity
Organization

Contact information

Practice address
115 N CANYON RD, YAKIMA, WA 98901-4326
(509) 910-0377
Mailing address
115 N CANYON RD, YAKIMA, WA 98901-4326
(509) 910-0377

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
10/02/2025
Last updated
02/19/2026
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