Organization
LA BRAMASOLE
Active
Organization
LA BRAMASOLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERINA M MCGUCKIN PHD.C (OWNER)
(208) 755-0316
Entity
Organization
Contact information
Practice address
715 S WHITMAN ST, ROSALIA, WA 99170
(208) 755-0316
Mailing address
PO BOX 191, PO BOX 191, OAKESDALE, WA 99158-0191
(208) 755-0316
(509) 444-6606
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
603037066
WA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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