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Individual

PRISCILLA TRIVISONNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14090 FRYELANDS BLVD SE STE 347, MONROE, WA 98272-2760
(360) 805-3122
Mailing address
319 119TH DR SE, LAKE STEVENS, WA 98258-7717
(425) 239-8100

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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