Individual
GUADALUPE HAZEL CANCHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1230 MONITOR ST, WENATCHEE, WA 98801-3534
(509) 300-1221
Mailing address
450 6TH ST NE APT 8, EAST WENATCHEE, WA 98802-7605
(509) 264-4331
(509) 664-4868
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10015820
WA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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