Individual
ANGELA PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HARRISON AVE, CENTRALIA, WA 98531-1853
(360) 807-2014
(360) 807-2053
Mailing address
1200 HARRISON AVE, CENTRALIA, WA 98531-1853
(360) 807-2014
(360) 807-2053
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
VA00021540
WA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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