Individual
ASIA IMANI CADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(253) 671-9909
Mailing address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61252083
WA
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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