Individual
JOSEPH IGNACIO PAGDANGANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22436 15TH AVE S, DES MOINES, WA 98198-6404
(206) 412-5872
Mailing address
22436 15TH AVE S, DES MOINES, WA 98198-6404
(206) 412-5872
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
466100
WA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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