Individual
ADAIRA ANGELI NERIS FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 POTTERY AVE STE 124, PORT ORCHARD, WA 98366-2501
(855) 201-8141
(855) 610-2353
Mailing address
1950 POTTERY AVE STE 124, PORT ORCHARD, WA 98366-2501
(855) 201-8141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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