Individual
DANIELA VESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12909 SE LAVER ST, VANCOUVER, WA 98683-6335
(360) 604-8475
Mailing address
12909 SE LAVER ST, VANCOUVER, WA 98683-6335
(360) 604-8475
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
752278
WA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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