Individual
DIVYANSHI PAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E MAGNOLIA ST, BELLINGHAM, WA 98225-4580
(360) 483-8077
Mailing address
1448 FRUITLAND DR, BELLINGHAM, WA 98226-7132
(360) 483-8077
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61527067
WA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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