Individual
SARAH VITACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21120 MERIDIAN AVE E, GRAHAM, WA 98338
(253) 285-4750
Mailing address
10136 TERRA GLENN ST SE, YELM, WA 98597-8793
(631) 830-5181
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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