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Individual

ROSE JAEL LUNCASU-ROLEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1301 4TH AVE NW STE 100, ISSAQUAH, WA 98027-9371
(425) 392-7989
Mailing address
1626 172ND AVE NE, BELLEVUE, WA 98008-2916
(919) 972-9257

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61152118
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61152118
WASHINGTON STATE DOH
WA
Enumeration date
07/14/2021
Last updated
05/03/2023
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