JERIC-KAI DASALLA BONGOLAN

SPOKANE, WA
NPI1326849142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-03-19
Last Update Date2025-03-19
Business Address
JERIC-KAI DASALLA BONGOLAN
731 N IRON BRIDGE WAY
SPOKANE, WA 99202-4926
Phone number: 509-444-8888
Mailing Address
JERIC-KAI DASALLA BONGOLAN
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8888
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