Individual
MR. ROBERT ANGRISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30338 SE 26TH ST, FALL CITY, WA 98024-7600
(425) 443-5421
Mailing address
PO BOX 1089, FALL CITY, WA 98024-1089
(425) 443-5421
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
EMT.ES.60444798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EMT.ES.60444798
EMS CERTIFIATION
WA
Enumeration date
09/13/2015
Last updated
09/13/2015
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