ZACHARIAH FRANCIS BLAYLOCK

PORT ANGELES, WA
NPI1306455241
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: WA  CO61077409)
Enumeration Date2020-07-27
Last Update Date2020-07-27
Business Address
ZACHARIAH FRANCIS BLAYLOCK SUDPT
3430 E HIGHWAY 101 STE 3
PORT ANGELES, WA 98362-9069
Phone number: 360-452-4062
Mailing Address
ZACHARIAH FRANCIS BLAYLOCK SUDPT
PO BOX 478
PORT ANGELES, WA 98362-0072
Phone number: 360-452-4062
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