CARLOS MILLAN

OTHELLO, WA
NPI1467912675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: WA  CG60941617)
Enumeration Date2019-03-22
Last Update Date2019-03-22
Business Address
CARLOS MILLAN
425 E MAIN ST STE 600
OTHELLO, WA 99344-1146
Phone number: 509-488-5611
Mailing Address
CARLOS MILLAN
425 E MAIN ST STE 600
OTHELLO, WA 99344-1146
Phone number: 509-488-5611
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