Individual
KEISHA TREQNIC ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8725 S 212TH ST, KENT, WA 98031-1921
(360) 658-3018
Mailing address
8725 S 212TH ST, KENT, WA 98031-1921
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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