MIRELLA APOLONIA VILLAGOMEZ

TACOMA, WA
NPI1376900282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60459149)
Enumeration Date2016-01-22
Last Update Date2016-01-22
Business Address
-- MIRELLA APOLONIA VILLAGOMEZ CP60459149
5915 ORCHARD ST W BLDG. B
TACOMA, WA 98467-3824
Phone number: 253-414-7461
Mailing Address
-- MIRELLA APOLONIA VILLAGOMEZ CP60459149
5915 ORCHARD ST W BLDG. B
TACOMA, WA 98467-3824
Phone number: 253-414-7461
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