Individual
BIANCA DRUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 NW MALL ST STE 2, ISSAQUAH, WA 98027-7900
(425) 651-8117
Mailing address
1445 NW MALL ST STE 2, ISSAQUAH, WA 98027-7900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61460948
WA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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