Individual
SAHARA ANASTASIA MALTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 ROBART LN, TOPPENISH, WA 98948-1036
(509) 969-5037
Mailing address
308 ROBART LN, TOPPENISH, WA 98948-1036
(509) 969-5037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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