Individual
CARLINE DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 WILMINGTON DR STE 220, DUPONT, WA 98327-8773
(206) 453-4882
Mailing address
2416 159TH STREET CT E, TACOMA, WA 98445-4578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
60996113
WA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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