Individual
MRS. SUE ANN PRANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10411 194TH ST CT E, GRAHAM, WA 98338
(360) 589-0620
Mailing address
10411 194TH ST CT E, GRAHAM, WA 98338
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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