Individual
FATIMA RUIZ-GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 194TH ST SW, LYNNWOOD, WA 98036-4613
(425) 426-2761
Mailing address
PANTOGRAN LLC, 996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
WDL2P22D943B
WA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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